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Genital wart - Anogenital in
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Genital wart - Anogenital in

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Contributors: Priyanka Vedak MD, Amy Swerdlin MD, Susan Burgin MD
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Synopsis

Condyloma acuminata are warts that occur secondary to infection with the human papillomavirus (HPV), a double-stranded DNA that belongs to the family of Papillomaviridae. The incubation period from exposure to lesion development can last from months to years.

In children, HPV infections can present as common skin warts, anogenital warts, oral and laryngeal papillomas, and subclinical infections. HPV types 1, 2, 3, 4, 7, and 10 cause skin warts in children, with incidence peaking at ages 12-16 years. HPV types 6 and 11 account for most genital and oral warts, while types 16 and 18 cause both genital warts and genital malignancies. HPV infection causes oropharyngeal and anal cancers in both genders and penile cancer in men.

Note: Childhood sexual abuse is a problem of epidemic proportions affecting children of all ages and of all economic and cultural backgrounds. A critical consideration for assessing condyloma acuminata in children is the determination of whether inoculation occurred as a result of sexual abuse. However, anogenital warts from HPV can also occur secondary to perinatal exposure, heteroinoculation (eg, from caregiver a changing diapers), autoinoculation (eg, from a wart on the hand of child), and indirect fomite transfer (eg, from shared towels). Large case series have found that about 3%-10% of anogenital warts in children are due to child sexual abuse.

Related topic: Oral mucosal wart

Codes

ICD10CM:
A63.0 – Anogenital (venereal) warts

SNOMEDCT:
240542006 – Condyloma acuminatum

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

There are many verrucous-looking lesions of the genitals:
If a condyloma acuminatum is solitary, neoplasms – although rare – should be considered in children.

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed: 11/21/2017
Last Updated: 02/21/2018
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Genital wart - Anogenital in
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Genital wart : Verrucous scaly papule, Verrucous scaly plaque
Clinical image of Genital wart
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