Condyloma acuminata: Difference between revisions
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==Background== | ==Background== | ||
[[File:Human anus-en.png|thumb|Anatomy of the anus.]] | |||
*Also known as anal warts | *Also known as anal warts | ||
*Usually related to [[HPV]] 6 and 11, which have less neoplastic potential than other [[HPV]] strains | |||
==Clinical Features== | ==Clinical Features== | ||
[[File:SOA-Condylomata-acuminata-around-anus.jpg|thumb|Anal warts]] | |||
*Vary from dot-like to large papilliform, cauliflower-like lesions | *Vary from dot-like to large papilliform, cauliflower-like lesions | ||
*Pain, itching, bleeding, anal discharge | *Pain, itching, [[rectal bleeding|bleeding]], anal discharge | ||
*Perianal involvement often | *Perianal involvement often associated with vulvovaginal and penile lesions | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Anorectal DDX}} | {{Anorectal DDX}} | ||
== | ==Evaluation== | ||
*Clinical diagnosis | |||
==Management== | ==Management== | ||
*Refer to specialist for | *Refer to specialist for electrosurgery, cryotherapy, trichloroacetic acid, or surgical excision<ref>CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm</ref> | ||
*Podophyllin solution/cream<ref>CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm</ref> | |||
*Imiquimod 5% cream<ref>CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm</ref> | |||
==Disposition== | ==Disposition== | ||
| Line 20: | Line 25: | ||
==See Also== | ==See Also== | ||
*[[Human papillomavirus]] | |||
*[[Anorectal Disorders]] | *[[Anorectal Disorders]] | ||
*[[Proctitis]] | *[[Proctitis]] | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:GI]] | [[Category:GI]] | ||
[[Category:Dermatology]] | |||
Latest revision as of 15:49, 23 April 2025
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
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
- ↑ CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm
- ↑ CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm
- ↑ CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm