genital wart

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Related to Anogenital warts: condyloma acuminatum, Condyloma acuminata

con·dy·lo·ma a·cu·mi·na·'tum

a contagious projecting warty growth on the external genitals or at the anus, consisting of fibrous overgrowths covered by thickened epithelium showing koilocytosis, due to sexual contact with infection by human papillomavirus; it is usually benign, although malignant change has been reported, associated with particular types of the virus.

genital wart

n.
A pointed papilloma typically found on the skin or mucous membranes of the anus and external genitalia, caused by a human papillomavirus transmitted through sexual contact. Also called condyloma acuminatum, venereal wart.

genital wart

Etymology: L, genitalis + AS, wearte
a small, soft, moist pink or red swelling of the genitals that becomes pedunculated and may be painless, caused by a sexually transmitted disease, human papillomavirus (HPV), which accounts for over 50% of all cases of sexually transmitted disease. The growth may be solitary, or a cauliflower-like group may be present in the same area of the genitalia. Atypical genital warts should be biopsied and examined as possible carcinomas because they are associated with cervical cancer. No therapy has been shown to eradicate HPV. One third of lesions disappear without treatment. Treatment may include podofilox, resin, or trichloracetic acid or cryotherapy with liquid nitrogen, laser, or surgical removal. A vaccine (Gardasil) for young females to help prevent HPV infections that may lead to cervical cancer protects against four types of HPV. Also called condyloma, condyloma acuminatum, venereal wart, verruca acuminata.
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Genital warts

genital wart

An asymptomatic verrucous tumor induced by HPV, found primarily on the orogenital mucosa, which can be transmitted to an infant during childbirth; GWs are the most common STD in the US Effects GWs, depending on HPV type, ↑ risk of cervical CA. See Cervical cancer, Condyloma acuminatum, HPV, Pap smear.

con·dy·lo·ma a·cu·mi·na·tum

(kon-di-lō'mă ă-kū-mi-nā'tŭm)
A warty growth on the external genitals or at the anus, consisting of fibrous overgrowths covered by thickened epithelium showing koilocytosis, due to sexually transmitted infection with human papillomavirus; malignant change is associated with particular types of the virus.
Synonym(s): genital wart, venereal wart.
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GENITAL WARTS

genital wart

A wart of the genitalia, caused by strains of human papillomavirus (HPV) some of which are transmitted by sexual contact. In women they may be associated with cancer of the cervix and vulva. An estimated 1 million new cases of genital warts occur each year in the U.S., making genital warts the most common sexually transmitted illness. They commonly occur with other genital infections, and grow rapidly in the presence of heavy perspiration, poor hygiene, or the hormonal changes related to pregnancy. Synonym: venereal wart See: illustration

Treatment

A variety of therapies, including topically applied chemicals such as podophyllin (10% to 25% in compound tincture of benzoine), trichloroacetic acid, or dichloroacetic acid usually remove small warts; other treatments include CO2 laser therapy, cryosurgery, electrocautery, 5-fluorouracil, imiquimod, and recombinant interferon alfa-2a. Nevertheless, there is no completely safe and effective therapy available for genital warts.

Patient care

A history is obtained for unprotected sexual contact with a partner with known infection, a new partner, or multiple partners. Standard precautions are used to examine the patient, to collect a specimen, or to perform associated procedures. The health care professional inspects the genitalia for warts growing on the moist genital surfaces, such as the subpreputial sac, the urethral meatus, and less commonly, the penile shaft or scrotum in male patients and the vulva and vaginal and cervical wall in female patients. Multiple warts have a cauliflower-like appearance. The patient usually reports no other symptoms, as the warts are generally painless, but a few complain of itching and pain. Diagnosis usually is made by visual inspection, but darkfield examination of wart cell scrapings may be used to differentiate HPV warts from those associated with second-stage syphilis. Biopsy is indicated if cancer is suspected. A nonthreatening, nonjudgmental atmosphere is provided to encourage the patient to verbalize feelings about perceived changes in sexual behavior and body image. Sexual abstinence or condom use during intercourse is recommended until healing is complete. The patient must inform sexual partners about the risk for genital warts and the need for evaluation. The patient should be tested for human immunodeficiency virus and for other sexually transmitted diseases. Genital warts can recur and the virus can mutate, causing warts of a different strain. The patient should report for weekly treatment until all warts are removed and then schedule a checkup for 3 months after all warts have disappeared. If podophyllin is applied, the patient is taught to remove it with soap and water 4 to 6 hrs after the application. Female patients should have a Papanicolaou test on a schedule recommended by their health care providers.

See also: wart

con·dy·lo·ma a·cu·mi·na·tum

(kon-di-lō'mă ă-kū-mi-nā'tŭm)
A warty growth on the external genitals or at the anus.
Synonym(s): genital wart, venereal wart.

genital wart (condyloma acuminatum),

n a soft, wartlike growth found on the warm, moist skin and mucous membranes of the genitalia, caused by a virus and transmitted by sexual contact. Also called
acuminate wart.
References in periodicals archive ?
Biota s president and CEO, stated : "We are looking forward to the initiation of a randomized, placebo-controlled, double-blind, Phase IIb trial in patients with anogenital warts in the second half of 2015.
A reduced national incidence of anogenital warts in young Danish men and women after introduction of a national quadrivalent human papillomavirus vaccination programme for young women - an ecological study.
from Bogota, Colombia, evaluated the possible benefits of sinecatechins for treating anogenital warts.
Although it is only FDA approved for the treatment of anogenital warts, actinic keratoses, and superficial basal cell carcinomas, its antitumor and antiviral properties have been used in the successful treatment of a wide variety of dermatological conditions.
The average cost of treatment after a new diagnosis of external anogenital warts was $446 (details available from the author).
Ah Investigational Study of Gardasil (V501) in Reducing the Incidence of Anogenital Warts in Young Men.
patent covers a method of treating a patient with anogenital warts using a fusion protein comprised of a heat shock protein from the Hsp60 family, which includes Hsp65, and an HPV (type 16) E7 antigen.
A majority (89%) knew that "genital HPV [human papillomavirus] infection is fairly common in sexually active adults," that infected individuals often lack signs or symptoms (95%), that an HPV infection increases the risk for cervical dysplasia and cancer (98%), and that treatment of external anogenital warts and cervical dysplasia/cancer does not always eliminate the infection (92% warts; 91% dysplasia/cancer).
Some external anogenital warts may be acquired perinatally during delivery as well, or may result from contact with common skin warts and fomites (Ferenczy, 1995a).
Most (89%) knew that "genital HPV [human papillomavirus] infection is fairly common in sexually active adults," that infected individuals often lack signs or symptoms (95%), that infection increases the risk for cervical dysplasia and cancer (98%), and that treatment of external anogenital warts and cervical dysplasia/cancer does not always eliminate the infection (92% warts; 91% dysplasia/cancer), said Dr.
New patient-applied therapy for anogenital warts is rated favourably by patients.
Studies of cidofovir topical gel in immunocompetent patients and in HIV-infected patients with anogenital warts associated with human papillomavirus (HPV) infection are ongoing, as well.