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婴儿肛周金字塔样突出伴会阴及肛周血管瘤:偶然关联还是不完全性PELVIS综合征?

Infantile Perianal Pyramidal Protrusion with Coexisting Perineal and Perianal Hemangiomas: A Fortuitous Association or Incomplete PELVIS Syndrome?

作者信息

Verma Shyam B, Wollina Uwe

机构信息

Nirvana Skin Clinic, Vadodara, Gujarat, India.

Department of Dermatology and Allergology, Academic Teaching Hospital, Friedrichstraβe, Dresden, Germany.

出版信息

Indian J Dermatol. 2014 Jan;59(1):71-4. doi: 10.4103/0019-5154.123503.

DOI:10.4103/0019-5154.123503
PMID:24470664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3884932/
Abstract

Two cases of infantile perianal pyramidal protrusions (IPPP), one pyramidal in shape and one leaf shaped, are being described by us. Both were notable for coexisting hemangiomas in the close vicinity. To the best of our knowledge we are reporting these two variants of IPPP with the associated neighboring hemangiomas for the first time in Indian dermatologic literature. We suggest that this presentation may be a part of one of the syndromes that comprise anorectal malformations with hemangiomas like PELVIS syndrome and others mentioned in the table.

摘要

我们报告两例婴儿肛周锥状隆起(IPPP),一例呈锥状,另一例呈叶状。两者的显著特征均为在紧邻部位共存血管瘤。据我们所知,我们在印度皮肤病学文献中首次报道这两种伴有相邻血管瘤的IPPP变体。我们认为这种表现可能是包括伴有血管瘤的肛门直肠畸形的综合征之一的一部分,如PELVIS综合征及表中提及的其他综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/3884932/c38265b1a45b/IJD-59-71-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/3884932/2fc2ad6ba0fe/IJD-59-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/3884932/a6484ec1b94d/IJD-59-71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/3884932/c38265b1a45b/IJD-59-71-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/3884932/2fc2ad6ba0fe/IJD-59-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/3884932/a6484ec1b94d/IJD-59-71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc7c/3884932/c38265b1a45b/IJD-59-71-g003.jpg

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本文引用的文献

1
[PELVIS or LUMBAR syndrome: the same entity. Two case reports].[骨盆或腰椎综合征:同一实体。两例病例报告]
Arch Pediatr. 2012 Jan;19(1):55-8. doi: 10.1016/j.arcped.2011.10.004. Epub 2011 Nov 17.
2
LUMBAR: association between cutaneous infantile hemangiomas of the lower body and regional congenital anomalies.腰部:下半身皮肤婴幼儿血管瘤与局部先天性畸形的关系。
J Pediatr. 2010 Nov;157(5):795-801.e1-7. doi: 10.1016/j.jpeds.2010.05.027. Epub 2010 Jul 2.
3
SACRAL syndrome: spinal dysraphism, anogenital, cutaneous, renal and urologic anomalies, associated with an angioma of lumbosacral localization.
骶骨综合征:脊髓发育异常、肛门生殖器、皮肤、肾脏和泌尿系统异常,与腰骶部血管瘤相关。
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PELVIS Syndrome.骨盆综合征
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Infantile perianal protrusion: 13 new cases.
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Partial urorectal septum malformation sequence: a report of 25 cases.部分泌尿直肠隔畸形序列征:25例报告
Am J Med Genet. 2001 Oct 1;103(2):99-105. doi: 10.1002/ajmg.1510.
7
Infantile perineal protrusion: a statistical, clinical, and histopathologic study.
Dermatology. 2000;201(4):316-20. doi: 10.1159/000051545.
8
Infantile pyramidal protrusion as a manifestation of lichen sclerosus et atrophicus.婴儿期锥体突出作为硬化萎缩性苔藓的一种表现。
Arch Dermatol. 1998 Sep;134(9):1118-20. doi: 10.1001/archderm.134.9.1118.
9
Infantile perianal pyramidal protrusion: a marker of constipation?
Pediatr Dermatol. 1998 Mar-Apr;15(2):143-4. doi: 10.1046/j.1525-1470.1998.1998015143.x.
10
Urorectal septum malformation sequence: report of thirteen additional cases and review of the literature.
Am J Med Genet. 1997 Dec 31;73(4):456-62.