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8.07 Genital warts (condylomata acuminata)


Presentation

Patients complain of perineal itching, burning, pain and tenderness or they may be asymptomatic, especially with cervical and vaginal involvement, but noticed distinctive fleshy warts of the external genitalia or anus. Lesions are pedunculated or borad based with pink to gray soft excrescences, occuring in clusters or individually.

What to do:

What not to do:

Discussion

Genital warts are a result of infection with human papillomavirus (HPV). The virus is currently considered a leading candidate as a causative agent in squamous carcinomas of both the female and male genital tracts. The sexual transmission of HPV is well documented, with the highest prevalence in young, sexually active adolescents and acults. HPV types 6 and 11 are the most prevalent types associated with condyloma accuminata and are not considered to have malignant potential. HPV frequently coexists with other sexually transmitted diseases. HPV lesions are difficult to eradicate, with a very high recurrence rate, and still no definitive therapy.

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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
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