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A Case of Navigating Autism and Atypical Rashes in Dermatology Practice.
Benjamin S Kahn1, Kathleen Ward2, Nedyalko Ivanov1
1Goodman Dermatology, Philadelphia College of Osteopathic Medicine, Roswell, Georgia, USA.
Case Reports in Dermatological Medicine
|October 27, 2025
Summary
A rare perianal skin rash in a child with autism was diagnosed as pseudoverrucous papules and nodules. This case highlights the importance of thorough evaluation for pediatric dermatologic conditions in vulnerable populations.
Area of Science:
- Pediatric Dermatology
- Autism Spectrum Disorder
- Dermatopathology
Background:
- A 4-year-old nonverbal autistic female presented with a 3-month history of a persistent, inflamed papular rash in the perianal region.
- The lesions were described as violaceous to skin-toned, verrucous, dome-shaped, with crateriform ulcerations on an erythematous base.
- The clinical presentation mimicked various cutaneous conditions and raised concerns for potential abuse, necessitating a comprehensive workup.
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