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Anal tags
From WikEM
Contents
Background
- Minor projections of skin at anal verge
- Inflammatory bowel disease may be associated with skin tag formation
Differential Diagnosis
Anorectal Disorders
- Anal tags
- Hemorrhoids
- Cryptitis
- Anal fissure
- Anal fistula
- Anorectal abscess
- Proctitis
- Rectal prolapse
- Rectal foreign body
- Pruritus ani
- Pilonidal cyst
- Constipation
- Condyloma acuminata
- Anal cancer
- Colorectal tumor
- Pedunculated polyp
- Crohn Disease
- Syphilitic fissure
- GC/Chlamydia
Evaluation
- Sometimes represent residuals of prior hemorrhoids
- Usually asymptomatic
- Inflammation may cause itching and pain
Management
- Skin tags covering anal crypts, fistulas, and fissures are "sentinel tags"
- Surgical referral for excision and/or biopsy is warranted