Infectious

Genital Warts

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Pathology

Caused by Human Papilloma Virus (HPV), usually type 6 or 11. 
Causes proliferation of epithelium resulting in warts.

Aetiology

Sexual contact, can also be transmitted perinatally.

Signs

Multiple or single lesions on genital or anal area. 

Symptoms

Painless skin lesions. May cause dyspareunia, bleeding or itching.

Investigations

Clinical diagnosis..

Treatment

Medical: Podophyllotoxin, imiquimod, cryotherapy, excision. HPV vaccination protects against genital warts.
Education: Advise condom use
Follow up: Screen for co-existing STIs, contact tracing.

Prognosis

Without treatment a third regress, a third stay stable and a third increase in size. 
Psychological issues, malignant change

Key Facts

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Key Images

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Key References

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