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

• Anal fissure
• Anal fistula
• Anal malignancy
• Anal tags
• Anorectal abscess
• Colorectal malignancy
• Condyloma acuminata
• Constipation
• Crohn's disease
• Cryptitis
• GC/Chlamydia
• Hemorrhoids
  • Internal hemorrhoid
  • External hemorrhoid
• Pedunculated polyp
• Pilonidal cyst
• Proctitis
• Pruritus ani
• Rectal foreign body
• Rectal prolapse
• Syphilitic fissure

Workup

• Clinical

Management

• Refer to specialist for laser ablation or cryotherapy
• Podophyllin

Disposition

• Outpatient

See Also

• Anorectal Disorders
• Proctitis

Authors:

Amr Badawy, Anu Ganapathy, Claire, Neil Young, Ross Donaldson