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Condylomata Acuminata

M. Ashleigh Brown, DO, T. Husain Chowdhry, MD, MA and E. James Kruse, DO Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Condylomata acuminata are soft, skin-colored, fleshy lesions (commonly called genital warts) that are caused by human papillomavirus (HPV):

    • Warts appear singly or in groups (a singl...

DIAGNOSIS

HISTORY

  • Explore sexual history, contraception use, and other lifestyle topics.

  • Most warts are asymptomatic but symptoms include

    • Pruritus, burning, redness, pain, bleeding

    • Vaginal discharge

    • Larg...

TREATMENT

GENERAL MEASURES

  • May resolve spontaneously

  • Change therapy if no improvement after three treatments, not complete clearance after six treatments, or therapy’s duration or dosage exceeds manufac...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

No restrictions, except for sexual contact 

Patient Monitoring

  • Patients should be seen every 1 to 2 weeks until lesions resolve.

  • Patients should follow up 3 months a...

REFERENCES

1
1 Gormley RH, Kovarik CL. Human papillomavirus-related genital disease in the immunocompromised host: part II. J Am Acad Dermatol.  2012;66(6):883.e1–883.e17; quiz 899–900. {L-End} ...

ADDITIONAL READING

  • Bauer HM, Wright G, Chow J. Evidence of human papillomavirus vaccine effectiveness in reducing genital warts: an analysis of California public family planning administrative claims ...

CODES

ICD10

A63.0 Anogenital (venereal) warts 

ICD9

078.11 Condyloma acuminatum 

SNOMED

  • 240542006 Anogenital warts (disorder)

  • 237110007 Condyloma acuminata of vulva (disorder)

  • 240598006 Penile warts (disorde...

CLINICAL PEARLS

  • Condylomata acuminata are soft, skin-colored, fleshy lesions caused by HPV subtypes 6, 11, 16, 18, 31, 33, and 35.

  • The majority of sexually active men and women will have acquired a gen...

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