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Condylomata Acuminata

Megan Ann Christopher, MD, MPH and Victoria Shepherd, MD Reviewed 05/2023
 


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,...

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
Unger  ER, Fajman  NN, Maloney  EM, et al. Anogenital human papillomavirus in sexually abused and nonabused children: a multicenter study. Pediatrics.  2011;12...

CODES

ICD10

A63.0 Anogenital (venereal) warts 

SNOMED

  • 240542006 Anogenital warts (disorder)

  • 237110007 Condyloma acuminata of vulva (disorder)

  • 240598006 Penile warts (disorder)

CLINICAL PEARLS

  • The majority of sexually active men and women will have acquired a genital HPV infection, usually asymptomatic, at some time.

  • No single therapy for genital warts is ideal for all patien...

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