Infantile perianal pyramidal protrusions identified in adult women

Dermoscopy features of infantile perianal pyramidal protrusion

“…IPPP is most commonly diagnosed in children, with a marked predilection for young girls rather than boys, 1,4 but it may be neglected for a long time and observed initially in older children, and even in adulthood in the absence of spontaneous regression. 5 There are three In addition to classical pyramidal shape, different clinical morphologies of IPPP have been described: leaflike, tongue tip, peanut, hen's crest, and cigarlike. 1,4,6 Patrizi et al suggested removing the term pyramidal from the name of IPPP, considering that this term is not always consistent with the shape of the protrusion, as demonstrated by previous works and by this case series.…”

“…IPPP is most commonly diagnosed in children, with a marked predilection for young girls rather than boys, 1,4 but it may be neglected for a long time and observed initially in older children, and even in adulthood in the absence of spontaneous regression 5 . There are three types of IPPP: a constitutional form, which may be familial and/or congenital; a functional form, associated with bowel disorders as constipation or diarrhea; and a lichen sclerosus et atrophicus (LSA)‐associated form, appearing simultaneously or asynchronously with the other characteristic signs of the disease 1,6 …”