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Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus.

Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus. Research Abstract Details 

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  • Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus. Abstract Text:

    BACKGROUND: A perineal infantile lesion previously described as "skin tag/fold" had recently been named infantile perianal pyramidal protrusion. It appears on the perineal median raphe of girls as a pyramidal soft tissue swelling, covered by smooth, red or rose-colored skin. Its pathogenesis is unknown. As in the case of other perianal lesions, knowledge about it is important, as concern about signs of child abuse grows. OBSERVATIONS: Four girls, 2 of them sisters, with infantile perianal pyramidal protrusion were studied. Three of these girls showed subtle clinical evidence of classic lichen sclerosus et atrophicus on first examination. The other girl developed vulvar lesions of lichen sclerosus et atrophicus months after the diagnosis of infantile perianal pyramidal protrusion. All 4 protrusions disclosed histopathological findings diagnostic of lichen sclerosus et atrophicus. CONCLUSIONS: Infantile perianal pyramidal protrusion is, at least in some patients, a peculiar form of lichen sclerosus et atrophicus that can precede other, more characteristic manifestations. We suggest changing the name to the more precise infantile perineal protrusion. Knowledge of this hitherto unrecognized clinical form of lichen sclerosus et atrophicus can help to explain anogenital symptoms and avoid its misinterpretation as a sign of sexual abuse.

    Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus. Publishing Authors By Initials

    For similar body regions: perineum research abstracts see: body regions: perineum research

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    Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Archives of dermatology

    VOLUME: 134

    Page Numbers: 1118-20

    Journal Abbreviation: Arch Dermatol

    ISSN: 0003-987X

    DAY: 17

    MONTH: Sep

    YEAR: 1998

    Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus. Information

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    LANGUAGE: eng

    NlmUniqueID: 372433

    Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus. Keywords Mesh Terms:

    KEYWORDS: Perineum

    MESH TERMS: pathology

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    Grant and Affiliation Information for Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus.

    AFFILIATION: Department of Dermatology, Hospital Provincial de Pontevedra, Spain. mpanoramix@ctv.es

    Country: UNITED STATES

    UNITED STATES Research PublicationUNITED STATES Research Publication

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    MEDLINETA: Arch Dermatol

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