Human papillomavirus: Difference between revisions
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==Disposition== | ==Disposition== | ||
Outpatient follow up | *Outpatient follow up | ||
==See Also== | ==See Also== | ||
Revision as of 19:32, 10 September 2020
Background
- Abbreviation: HPV
- Most common STI in US.
- Over 200 HPV types, with 40 that infect the genital mucosa [1]
- Associated with cervical, vulvar, penile, anal and oropharyngeal cancer.
- Vaccine available for adolescents 11 and older, and immunocompromised patients.
HPV Types and Associated Disease Entities
| Disease | HPV type |
|---|---|
| Common warts | 2, 7, 22 |
| Plantar warts | 1, 2, 4, 63 |
| Verruca plana (flat) | 3, 10, 28 |
| Condyloma acuminata (anogenital) | 6, 11, 42, 44 and others |
| Anal dysplasia (lesions) | 6, 16, 18, 31, 53, 58 |
| Genital cancers |
|
| Epidermodysplasia verruciformis | more than 15 types |
| Focal epithelial hyperplasia (mouth) | 13, 32 |
| Mouth papillomas | 6, 7, 11, 16, 32 |
| Oropharyngeal cancer | 16 |
| Verrucous cyst | 60 |
| Laryngeal papillomatosis | 6, 11 |
Clinical Features
- Most infections asymptomatic
- Anogenital warts (Condyloma acuminata)
- painless flesh-colored papules or cauliflower-like projections
- Contagious via skin contact
- Cervical cancer
Differential Diagnosis
Sexually transmitted diseases
- Chancroid
- Chlamydia trachomatis
- Granuloma inguinale
- Hepatitis B
- Herpes Simplex Virus-2
- HIV
- Human papillomavirus
- Lymphogranuloma venereum
- Neisseria gonorrhoeae
- Trichomonas
- Syphilis
Evaluation
- Clinical diagnosis
- Pap smear for cervical lesions
Management
- Safe-sex counseling (HPV-2)
Disposition
- Outpatient follow up
See Also
External Links
References
- ↑ Cdc.gov. (2018). Surveillance Manual | HPV | Vaccine Preventable Diseases | CDC. [online] Available at: https://www.cdc.gov/vaccines/pubs/surv-manual/chpt05-hpv.html [Accessed 3 May 2018].