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Acrochordons

Acrochordons

Clinical features Skin tags (acrochordons) are common in the groins, especially in the obese. They may catch on clothing, bleed, and get infected. Fibrosed hemorrhoids can result in perianal skin tags, but larger, fleshier, more edematous skin tags should arouse the suspicion of Crohn disease: they can predate gastrointestinal disease by several years.1 These lesions are particularly relevant in young patients with diarrhea, abdominal pain, and/or growth retardation.1

Histologic features The histology of a skin tag at this site is identical to that of those occurring elsewhere. The presence of granulomata in anal skin tags is often a clue to the diagnosis of Crohn disease.2