PERIANAL

By Gary M. White, MD

Fistula

Anal Fistula

Papulonodule(s)

Condyloma, Child
Condyloma

Condyloma, Adult
Condyloma

Hemorrhoids

Pigmented

Anosacral Amyloid

Benign Moles in the perianal area. Courtesy of Paul Koonings, MD. Perianal nevi are relatively common and in one study were associated with prominent and atypical nevi elsewhere [JAMA Derm 2016;152;1209].
Benign Moles

Plaque(s)

Condyloma Lata
Condyloma Lata

Plasma Cell Mucositis

Pruritus

Pruritus Ani

Red

Perineal Streptococcal Disease
Perineal Streptococcal Disease

Psoriasis
Perianal Psoriasis

Red, Scaly Plaque

Bowen's Disease
Bowen's Disease

Extramammary Paget's Disease

Sinus

Anal Fistula

Crohn's Disease

Ulcer

Amebiasis

Herpes Simplex. HIV positive?
Herpes Simplex

Langerhans Cell Histiocytosis A persistent perianal ulcer may occur in adult Langerhans cell histiocytosis [ADDV 1989;116;875 (CP)] [AD 1993;129;1261(CP)].

Nicorandil: Chronic anal ulceration has been reported from nicorandil.

Perineal Groove

White

Lichen Sclerosus
Lichen sclerosus Lichen sclerosus

Vitiligo
Vitiligo

RegionalDerm

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