Condyloma acuminata
Contents
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
- Colorectal malignancy
- Condyloma acuminata
- Constipation
- Crohn's disease
- Cryptitis
- GC/Chlamydia
- Hemorrhoids
- Pedunculated polyp
- Pilonidal cyst
- Proctitis
- Pruritus ani
- Rectal foreign body
- Rectal prolapse
- Syphilitic fissure
Workup
- Clinical
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
Authors:
Amr Badawy, Anu Ganapathy, Claire, Neil Young, Ross Donaldson