Perianal Skin Tags as a Diagnosis Clue to Crohn's Disease

Introduction: Crohn's Disease, an inflammatory bowel disease often associated with perianal complications, poses unique challenges in adolescents, a critical period where risky behaviors are frequent.Case Report: A seventeen-year-old female was referred to a hospital consultation with suspected perianal condylomas.The patient's history and a careful HEEADSSS assessment excluded a history of risky behaviors and prompted further investigation.Physical examination revealed three pedunculated "elephant ear" perianal pink lesions alongside other smaller similar lesions that, along with the clinical history of looser stool, led to the diagnostic suspicion of Crohn's Disease, prompting the performance of a colonoscopy and confirming the diagnosis.Discussion: Recognition of perianal skin tags as a diagnosis clue to Crohn' Disease is vital, as they may mimic other conditions.Excision is discouraged and treatment focuses on managing intestinal disease.This case emphasizes the importance of disseminating knowledge about CD's varied presentations to facilitate early diagnosis and intervention.