Anal human papillomavirus (HPV) infection, especially HPV16, is an important etiologic factor of anal precancerous lesions and anal squamous cell carcinoma (SCC). 1,2 These anal HPV complications have been shown to occur at increased rates in specific groups, such as human immunodeficiency virus (HIV)-positive patients, 3 men who have sex with men (MSM), 3 women with a previous history of genital neoplasia, 4,5 and solid organ transplant recipients