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Condylomata Acuminata

Reviewed 06/2019
 


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 single ...

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

    • Large ...

TREATMENT

GENERAL MEASURES

  • Approximately, 30% resolve spontaneously in 4 months.

  • Change therapy if no improvement after three treatments, clearance not complete after six treatments, or therapy’s durati...

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
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. [View Abstra...

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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