venereal wart


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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.

venereal wart

venereal wart

venereal wart

1. Genital wart, see there  .
2. Condyloma acuminatum, see there.

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.

wart

(wort)
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COMMON WARTS
A circumscribed cutaneous elevation resulting from hypertrophy of the papillae and epidermis. See: illustration
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COMMON WARTS

common wart

Verruca vulgaris.illustration
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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.

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PLANTAR WART

plantar wart

A wart on a pressure-bearing area, esp. the sole of the foot. Synonym: verruca plantaris
See: illustration

seborrheic wart

Seborrheic keratosis.

venereal wart

Genital wart.
References in periodicals archive ?
Many women are infected with venereal warts or are carrier of Cytomegalovirus and group B streptococcus.
The need for more reliable data on these "classic" venereal diseases as well as on such "second-generation" STDS as chlamydia, genital herpes, and venereal warts has led to the development of a formal sentinel surveillance system for STDs.
Although the incidence of cervical cancer has diminished dramatically, the incidence of venereal warts, condyloma, and abnormal Pap tests is still significant.