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Papillommas are small lesions that can be clipped off at their base using the appropriate Laser device with little or no anaesthesia.

papillomas in children

Aluminium chloride may be applied for haemostasis if needed. For larger lesions (larger papillomas), topical anaesthesia and removal with the use of a Laser is the preferred method.

An entity that is frequently reported as perianal acrochordons or skinfolds has now been named infantile perianal pyramidal protrusions. This occurs in young children, usually girls, in the midline anterior to the anus. It reduces with time and no treatment is necessary. Child abuse, genital warts, haemorrhoids, granulomatous lesions of inflammatory bowel disease, or rectal prolapse must be considered in the differential diagnosis of these lesions.

Tag-like basal cell carcinomas in childhood should suggest a diagnosis of nevoid basal cell carcinoma syndrome (NBCCS). Biopsy should be performed on acrochordons in children because the lesions are uncommon in this age group, and they may be the presenting sign of NBCCS.

About the author:

Christofer Tzermias

Specialised in the UK (Oxford & London) and in North America (New York & San Diego) in the field of LASER Dermatology, Dr Tzermias, has been providing dermatological state-of-the-art treatments using cutting-edge LASER and Energy based Devices for over 20 years. He has been Director of Interventional and LASER Dermatology Department at the Athens Medical Center for over 18 years and for the last 9 years is the Scientific Director of IQ - Intensive Quality Dermatology & Cosmetic Surgery Clinics, which at the 2017 Healthcare Awards won the ‘Innovation Award for Innovative Services’ for their pioneering contributions. Since 2018, IQ Dermatology & Cosmetic Surgery Clinics has also been operating in London, UK and in Muscat, Oman. Dr Tzermias is a Fellow of the world-renowned American Society for LASER Medicine and Surgery (ASLMS), a Founder Member of the European Society LASER Dermatology (ESLD), the Vice President of the ‘Open Health Alliance’ and he is also on the Board of Directors of Elitour - Greek Medical Tourism Council.

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