Condyloma acuminata

Background

  • Also known as anal warts
  • Usually related to HPV 6 and 11, which have less neoplastic potential than other HPV strains

Clinical Features

Anal warts
  • Vary from dot-like to large papilliform, cauliflower-like lesions
  • Pain, itching, bleeding, anal discharge
  • Perianal involvement often associated with vulvovaginal and penile lesions

Differential Diagnosis

Anorectal Disorders

Evaluation

  • Clinical diagnosis

Management

  • Refer to specialist for electrosurgery, cryotherapy, trichloroacetic acid, or surgical excision[1]
  • Podophyllin solution/cream[2]
  • Imiquimod 5% cream[3]

Disposition

  • Outpatient

See Also

References

  1. CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm
  2. CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm
  3. CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm