Infantile perianal pyramidal protrusion
(IPPP)/infantile perineal protrusion
IPPP is:
-Nontender pedunculated protrusion with a tongue-like tip
-Covered with smooth skin
-May appear red/pink, in fair skinned individuals
-Usually pyramidal
-Usually midline, anterior to the anus (posterior lesions can occur)
-Almost always in females
-May be associated with constipation and/or lichen sclerosis
Treatment:
-Typically not necessary
-Usually see recurrent swelling with eventual resolution
Differentiate IPPP from condyloma acuminata, trauma, skin tags,
rectal prolapse, and granulomatous lesions of inflammatory bowel
disease