Condyloma acuminata: Difference between revisions
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==Management== | ==Management== | ||
*Refer to specialist for | *Refer to specialist for electrosurgery, cryotherapy, trichloroacetic acid, or surgical excision | ||
*Podophyllin | *Podophyllin solution/cream | ||
*Imiquimod 5% cream | |||
==Disposition== | ==Disposition== | ||
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==References== | ==References== | ||
CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm | |||
<references/> | <references/> | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Dermatology]] | |||
Revision as of 15:57, 26 October 2019
Background
- Also known as anal warts
- Usually related to HPV 6 and 11, which have less neoplastic potential than other HPV strains
Clinical Features
- 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
- Anal fissure
- Anal fistula
- Anal malignancy
- Anal tags
- Anorectal abscess
- Coccydynia
- Colorectal malignancy
- Condyloma acuminata
- Constipation
- Crohn's disease
- Cryptitis
- GC/Chlamydia
- Fecal impaction
- Hemorrhoids
- Levator ani syndrome
- Pedunculated polyp
- Pilonidal cyst
- Proctalgia fugax
- Proctitis
- Pruritus ani
- Enterobius (pinworms)
- Rectal foreign body
- Rectal prolapse
- Syphilitic fissure
Non-GI Look-a-Likes
Workup
- Clinical
Management
- Refer to specialist for electrosurgery, cryotherapy, trichloroacetic acid, or surgical excision
- Podophyllin solution/cream
- Imiquimod 5% cream
Disposition
- Outpatient
See Also
References
CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm