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   Abstract
   Introduction
   Case Report
   Discussion
   References
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CASE REPORT
Year : 1996  |  Volume : 62  |  Issue : 6  |  Page : 406-407

Pedunculated digitate papillomatosis around rectum




Correspondence Address:
Kalyan Banerjee


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Source of Support: None, Conflict of Interest: None


PMID: 20948147

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  Abstract 

This is a report on unusual case of proliferation of dermal and epidermal components having finger-like projection around rectum with extension towards natal cleft in a patient suffering from Hansen's infection.


Keywords: Pedunculated papillomatosis, Hansen′s infection


How to cite this article:
Banerjee K, Banerjee R, Dutta A K, Seng. Pedunculated digitate papillomatosis around rectum. Indian J Dermatol Venereol Leprol 1996;62:406-7

How to cite this URL:
Banerjee K, Banerjee R, Dutta A K, Seng. Pedunculated digitate papillomatosis around rectum. Indian J Dermatol Venereol Leprol [serial online] 1996 [cited 2019 Oct 19];62:406-7. Available from: http://www.ijdvl.com/text.asp?1996/62/6/406/4484



  Introduction Top


This is a unique dermatological condition first described by Thomas Potter et al in June issue in Cuits magazine 1996, in a white man with a history of progressive multiple sclerosis.[1]


  Case Report Top


A 35-year-old man suffering from BT type of Hansen's infection for last 6 years was treated for 3 months by MDT. Slit smear for AFB was negative after 3 months of treatment. Routine investigation was within normal limits. Suddenly he had detected while performing Indian toilet habit finger-like projection appearing arround anus.

On examination pedunculated, proliferative, multiple, soft, skin-coloured, nonverrucous filiform skin tags (soft fibroma) like growths were seen around rectum [Figure - 1]. Lesions were removed by electrodiathermy. Biopsy revealed normal epidermis, dermis had fibrosis among loose collagen bundles without feature of vascular change and presence of neural elements. [Figure - 2],[Figure - 3])


  Discussion Top


Skin tags (soft fibroma) are usually located at the body folds at the site of trauma having arbitary clinical and histological classification. Fibrokeratoma - Keratosis may not be present due to moist condition around rectal skin. Because of the absence of neural elements neurofibroma could be easily ruled out. Proctoscopy and sigmoidoscopy ruled out haemorroides and papilloma in the sigmoid colon and rectum. Local venous congestion or lymhatic stasis may contribute to this new feature of skin. This is being reported second time in world literature.

 
  References Top

1.Thomas T, Potter S, et al. Cutis 1996;57:451.  Back to cited text no. 1    


    Figures

[Figure - 1], [Figure - 2], [Figure - 3]



 

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Online since 15th March '04
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