Department of Dermatology, State University of New York Downstate Medical Center, 10 West, 800 Poly Place, Brooklyn, NY, 11203, USA.
Veterans Affairs Medical Center, Brooklyn, NY, USA.
Am J Clin Dermatol. 2017 Jun;18(3):343-354. doi: 10.1007/s40257-017-0259-z.
Perianal lesions in children are common reasons for dermatology clinic visits and a well-defined approach to diagnosis and management is helpful to the practicing clinician. In this article, we review and update various etiologies of perianal lesions in the pediatric population, including infectious, papulosquamous, vascular, and neoplastic. We provide a standard initial approach to diagnosis and updates on current management. Infectious etiologies of perianal lesions discussed in this article include fungal, bacterial, parasitic, and viral. Perianal papulosquamous lesions often encountered in children, and discussed in this article, include acrodermatitis enteropathica, psoriasis, contact dermatitis, and many others. We also discuss the diagnosis and management of other entities including infantile hemangiomas, Langerhans cell histiocytosis, and fibrous hamartoma of infancy.
儿童肛周病变是皮肤科门诊常见的就诊原因，明确的诊断和治疗方法有助于临床医生的实践。本文回顾并更新了儿童肛周病变的各种病因，包括感染性、丘疹鳞屑性、血管性和肿瘤性。我们提供了标准的初始诊断方法和当前治疗方法的更新。本文讨论的肛周病变感染性病因包括真菌、细菌、寄生虫和病毒。本文还讨论了儿童常见的肛周丘疹鳞屑性病变，包括肠病性肢端皮炎、银屑病、接触性皮炎等。我们还讨论了其他疾病的诊断和治疗，包括婴儿血管瘤、朗格汉斯细胞组织细胞增生症和婴儿纤维性错构瘤。
