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Perianal Lesions in Children: An Updated Review

Michelle Xu1, Hannah Liu1, Sharon Glick1

  • 1Department of Dermatology, State University of New York Downstate Medical Center, 10 West, 800 Poly Place, Brooklyn, NY, 11203, USA.

American Journal of Clinical Dermatology
|March 15, 2017
PubMed

Insights

This review details common pediatric perianal lesions, covering infectious, papulosquamous, vascular, and neoplastic causes. It offers clinicians an updated diagnostic and management approach for these frequent dermatology visits.

Area of Science:

  • Pediatric Dermatology
  • Clinical Diagnosis
  • Dermatologic Lesions

Background:

  • Perianal lesions are a frequent reason for pediatric dermatology consultations.
  • A structured approach to diagnosis and management is essential for clinicians.
  • Various etiologies contribute to perianal lesions in children.

Purpose of the Study:

  • To review and update the various etiologies of perianal lesions in pediatric patients.
  • To provide a standardized initial diagnostic approach.
  • To offer current management strategies for these conditions.

Main Methods:

  • Literature review and synthesis of current knowledge on pediatric perianal lesions.
  • Categorization of etiologies into infectious, papulosquamous, vascular, and neoplastic.
  • Discussion of diagnostic criteria and therapeutic interventions.

Main Results:

  • Identified infectious causes include fungal, bacterial, parasitic, and viral agents.
  • Papulosquamous lesions discussed encompass acrodermatitis enteropathica, psoriasis, and contact dermatitis.
  • Other discussed entities include infantile hemangiomas, Langerhans cell histiocytosis, and fibrous hamartoma of infancy.

Conclusions:

  • A comprehensive understanding of diverse etiologies is crucial for effective management.
  • Updated diagnostic and management guidelines aid clinicians in treating pediatric perianal lesions.
  • This review provides a valuable resource for the diagnosis and care of children with perianal conditions.

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