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July 1988

Association of Human Immunodeficiency Virus Seropositivity and Extensive Perineal Condylomata Acuminata in a Child

Author Affiliations

Department of Dermatology Northwestern University School of Medicine 303 E Chicago Ave Chicago, IL 60611

Arch Dermatol. 1988;124(7):1010-1011. doi:10.1001/archderm.1988.01670070012005

To the Editor.—  Condylomata acuminata are being seen with increasing frequency in both the adult and pediatric populations.1 Recent studies of homosexual males have shown a significant association between these lesions and seropositivity to the human immunodeficiency virus (HIV), suggesting that anogenital warts can be a marker of HIV infection.2,3 We describe a child who presented with extensive perineal warts and was subsequently found to be HIV positive.

Report of a Case.—  A 2½-year-old boy was referred to the dermatology clinic for treatment of extensive refractory condylomata acuminata present since 6 months of age. Except for diarrhea of one month's duration, he was said to be in excellent health. Both parents had a long history of genital warts, and these had been present in the mother at the time of the patient's birth. Examination of the child revealed extensive perianal, inguinal, and scrotal condylomata. No other physical abnormalities

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