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Perianal Skin Conditions

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Coloproctology

Part of the book series: European Manual of Medicine ((EUROMANUAL))

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Abstract

Perianal skin conditions are common. They are best managed by a proctologist in conjunction with a dermatologist. This brief review covers common perianal skin conditions and suggests management options in an evidence-based manner. Perianal dermatitis is the most common perianal skin condition. Up to one-third of patients with perianal dermatitis have a relevant contact allergy. It is recommended that all patients with this condition undergo cutaneous allergy testing. Dietary manipulation as part of management does not seem to have any evidence base, unless skin maceration is thought to be to the result of diarrhea, in which case stool thickeners may be of some benefit. Lower bowel endoscopy is important in perianal dermatitis to assess for internal hemorrhoids or neoplastic disease as a possible contributory factor. Perianal infections, especially those with the human papillomavirus, are also discussed in this chapter.

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Author information

Authors and Affiliations

  1. Department of Dermatology, St Vincent’s University Hospital, Elm Park, Dublin, Ireland

    Brian Kirby MD, FRCPI

Authors
  1. Brian Kirby MD, FRCPI
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Correspondence to Brian Kirby MD, FRCPI .

Editor information

Editors and Affiliations

  1. End- und Dickdarm-Zentrum Mannheim, Mannheim, Germany

    Alexander Herold

  2. Clinique de chirurgie digestive et endocrinienne, Institut des maladies de l’appareil digestif, Hotel Dieu, Nantes, France

    Paul-Antoine Lehur

  3. Chirurgische Klinik mit Poliklinik, Universitaet Erlangen, Erlangen, Germany

    Klaus E. Matzel

  4. UCD School of Medicine, St Vincent’s University Hospital, Dublin, Ireland

    P. Ronan O'Connell

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© 2017 Springer-Verlag Berlin Heidelberg

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Kirby, B. (2017). Perianal Skin Conditions. In: Herold, A., Lehur, PA., Matzel, K., O'Connell, P. (eds) Coloproctology. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53210-2_7

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  • DOI: https://doi.org/10.1007/978-3-662-53210-2_7

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53208-9

  • Online ISBN: 978-3-662-53210-2

  • eBook Packages: MedicineMedicine (R0)

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