Severe Anogenital Warts in a Child with HIV Infection

To the Editor: Anogenital warts have not been reported in children with human immunodeficiency virus (HIV) infection or with increased severity in HIV-infected adults. I report a case of a 3 1/3 2153ear-old black girl who presented at the age of 17 months with severe anogenital warts (Fig. 1) and was found to have AIDS (acquired immunodeficiency syndrome)-related complex. The child's mother had a history of anogenital warts during pregnancy. There was no history of sexual abuse and no vaginal discharge, and a serologic test for syphilis was nonreactive. Histologic examination of the lesion confirmed the diagnosis of condyloma. Over.