genital 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.

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.
References in periodicals archive ?
Patients should apply podofilox solution with a cotton swab, or podofilox gel with a finger, to visible genital warts twice a day for 3 days, followed by 4 days of no therapy.
We also found an almost significant association between psychoticism and genital wart.
This included patients with multiple verruca vulgaris (more than 5 lesions), recurrent palmoplantar warts, verruca plana mainly on face or other exposed part of body, subungual warts and genital warts.
Results: Genital warts were relieved in 107 out of the 110 cases (cure rate: 97.
How long genital warts last depends mostly on how fast your immune system recognizes HPV and responds to clear it from your body.
Genital warts often occur in clusters in men and women and often disappear on their own.
It is estimated that up to 65% of people who have sex with a person who has genital warts will become infected and transmit the disease to others.
GARDASIL Human Papillomavirus Quadrivalent Vaccine, Recombinant is indicated for use in females 9 through 26 years of age for the prevention of cervical, vulvar, vaginal and anal cancers caused by HPV types 16 and 18; genital warts caused by HPV types 6 and 11; and precancerous or dysplastic lesions caused by HPV types 6, 11, 16 and 18.
Genital warts can be accurately diagnosed with a careful clinical history and physical examination.
Although genital warts are not life-threatening, they cause significant psychosocial harm, including low self-esteem, negative self-perception, embarrassment and anxiety.
The coapplication of two topical creams, one containing 6% sodium nitrite and another containing 9% citric acid, together producing nitric oxide, was effective in treating genital warts in close to one-third of patients, in a study published online April 29 in JAMA Dermatology.
A program in Australia to offer young women the human papillomavirus vaccine at no cost has resulted in a significant decrease in genital warts among vaccine-eligible women.