Condyloma acuminata: Difference between revisions
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[[File:SOA-Condylomata-acuminata-around-anus.jpg|thumb|Anal warts]] | [[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 associated with vulvovaginal and penile lesions | *Perianal involvement often associated with vulvovaginal and penile lesions | ||
Revision as of 20:14, 29 September 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 laser ablation or cryotherapy
- Podophyllin
Disposition
- Outpatient
