Mimicker of perianal papular lesions

Abstract

Perianal mimicker papular skin lesion in children is rare when the real cause cannot be found or justified. I report a young 4-year-old black Libyan girl who complaint of multiple itchy skin-colored nodules for the past 1 year around only the anus and increasing as her mother declared. Cutaneous examination revealed multiple, 0.5–1 cm flat-topped dry papules, at the perianal area not extending up to the labia majora. On histology marked focal epidermal hyperplasia and hyperkeratosis in the epidermis was seen. This confirmed the diagnosis of one condition stated in the literature called perianal pseudoverrucous papules and nodule. This rare condition can be mistaken with sexually transmitted diseases leading to unnecessary investigations and treatment and raising the question of sexual abuse in children.