Pseudoverrucous papules and nodules

Pseudoverrucous papules and nodules
Synonyms	Pseudoverrucous papules, Pseudoverrucous nodules, Jacquet's erosive diaper dermatitis
Pronounce	N/A
Specialty	N/A
Symptoms	Papules and nodules on the skin, often in areas exposed to urine or feces
Complications	Infection
Onset	Can occur at any age, often in infants or individuals with incontinence
Duration	Varies, depending on exposure and treatment
Types	N/A
Causes	Chronic exposure to irritants such as urine and feces
Risks	Incontinence, diaper use
Diagnosis	Clinical diagnosis based on appearance and history
Differential diagnosis	Verrucous carcinoma, Condyloma acuminatum, Psoriasis
Prevention	N/A
Treatment	Reducing exposure to irritants, topical corticosteroids, barrier creams
Medication	Topical corticosteroids
Prognosis	N/A
Frequency	Relatively uncommon
Deaths	N/A

A skin condition characterized by wart-like lesions

Pseudoverrucous papules and nodules (PPN) is a dermatological condition characterized by the presence of wart-like lesions on the skin. These lesions are typically benign and are often associated with chronic irritation or inflammation of the skin.

Presentation

Pseudoverrucous papules and nodules appear as small, raised, wart-like growths on the skin. They are usually red or brown in color and can vary in size. These lesions are most commonly found in areas of the body that are subject to chronic irritation or moisture, such as the perianal region, around stomas, or in the groin area.

Causes

The primary cause of pseudoverrucous papules and nodules is chronic irritation or inflammation of the skin. This can occur due to prolonged exposure to moisture, friction, or irritants. Common scenarios include:

• Incontinence-associated dermatitis
• Ostomy sites
• Chronic exposure to urine or feces

Diagnosis

Diagnosis of pseudoverrucous papules and nodules is typically made based on the clinical appearance of the lesions and the patient's history of chronic irritation or inflammation. A biopsy may be performed to rule out other conditions such as verrucous carcinoma or squamous cell carcinoma.

Treatment

The primary treatment for pseudoverrucous papules and nodules involves addressing the underlying cause of irritation. This may include:

• Improving skin hygiene
• Using barrier creams or ointments
• Managing incontinence effectively
• Reducing friction and moisture exposure

In some cases, topical corticosteroids may be prescribed to reduce inflammation. If the lesions are particularly bothersome or do not resolve with conservative measures, surgical removal may be considered.

Prognosis

The prognosis for individuals with pseudoverrucous papules and nodules is generally good, especially if the underlying cause of irritation is effectively managed. The lesions are benign and do not pose a risk of malignancy.

Related pages

• Dermatitis
• Verrucous carcinoma
• Squamous cell carcinoma
• Ostomy