Acquired, verrucous, gluteal lymphangioma in the setting of Crohn’s disease

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To the Editor: A 46-year-old man with a history of Crohn’s disease was referred for evaluation of a large verrucous plaque on the superior gluteal cleft that was concerning for condyloma acuminatum. He had noted a small papule at the site 1 year earlier, which slowly enlarged to form a large plaque that frequently oozed clear fluid. The lesion was otherwise asymptomatic. The patient denied a history of anogenital warts or antecedent trauma. He was married and monogamous with his wife, who also denied a history of genital warts.