Infantile perianal pyramidal protrusion.

A 2-year-old girl presented to the dermatology clinic with a 2-week history of a solitary perianal protrusion. Constipation may be a risk factor for the condition.[2],[4] Infantile perianal pyramidal protrusion typically presents as an asymptomatic, smooth, soft, pink-or flesh-coloured skin prominence ranging from 5 to 30 mm SP 2 sp in size, usually located anterior, but occasionally posterior to the anus.[1],[2] Diagnosis is primarily clinical, and invasive investigations should usually be avoided. Differential diagnosis should consider skin tag, skin fold, condyloma acuminata, hemorrhoid, rectal prolapse and lesions from perianal abuse.[1],[2] Conservative management is indicated as the lesion often resolves spontaneously within weeks to months. [Extracted from the article]