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GENITAL WARTS

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DEFINITION

Genital warts the most

common STD caused by certaintypes of Human Papilloma Virus

(HPV) characterized by fibro-

epitelioma lesions on the sin !

mucous membrane"

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ETIOLOGY

#ore than $% types of HPV"

#ost often caused by HPV &

types ' ! low rade type

types '* +* , ! ,, hih

rade types cerical

carcinoma ! other malinancy"

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CLINICAL MANIFESTATIONS

./ophytic* filiform* cauliflower-

shaped warts

#ultifocal* usually 0-0* in areas

of trauma durin se/* may

coalesce* especially in

immunosuppressed"

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Papul verukosa, vegetasi

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1 morpholoic types &

2ccuminata"

Papular warts"

3eratotic warts"

4lat-topped papules

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1. Accuminata1. Accuminata

.specially in body folds !wet enital areas"

5auliflowerlie appearance"

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2. Papular warts2.Papular warts

4lesh-colored* domeshaped

papules"

6sually -1 mm in diameter"

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3. Keratotic warts3. Keratotic warts

Hae a thic* crust-lie layer !

may resemble common sin

warts or seborrhoeic

eratosis"

4. Flat-topped papules4. Flat-topped papules

#acular to slihtly raised"

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DIAGNOSIS

2cetowhite after application

of 0 7 acetic acid (, minutes)

Sin biopsy

HPV D82 detection

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DIFFERENTIAL DIAGNOSIS

Pearly penile papules"

5ondyloma lata"

S9uamous cell carcinoma"

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TREATMENT

" 5hemotherapy &

Podophyllin tincture %-:0 7 Podofilo/ %*07 solution

Trichloroacetic acid (T52) 0% 7

0-4luorouracil cream

;mi9uimod 0 7 cream

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:" Surery &

Scapel surery

.lectrocauter

5ryosurery

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Prenancy

o ;mi9uimod* podophyllin*podophyloto/in not beused in prenancy

o =is of transmission to theinfant (&1%%) leadin tolaryneal papillomatosis

#anaement se/ual contactsshould be e/amined ! clinicalwarts treated

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FOLLOW-UP

5lear information& cause*treatment* possible complication

5ondoms& with new partners till

clearance is achieed* reularpartners already e/posed"

=eular cytoloy for females

5urrent partners ! recent (' month)partners assessed for HPV !

other ST;

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