7/30/2023 0 Comments Do finger warts itchDiagnostic Considerationsĭiagnosis of anogenital warts is usually made by visual inspection but can be confirmed by biopsy, which is indicated if lesions are atypical (e.g., pigmented, indurated, affixed to underlying tissue, bleeding, or ulcerated lesions). PreventionĪnogenital warts have decreased among adolescents, young women, and heterosexual men with use of HPV vaccination in multiple countries, including the United States ( 1203, 1207– 1216). Intra-anal warts are observed predominantly in persons who have had receptive anal intercourse however, they also can occur among men and women who have not had a history of anal sexual contact. Warts can also occur at multiple sites in the anogenital epithelium or within the anogenital tract (e.g., cervix, vagina, urethra, perineum, perianal skin, anus, or scrotum). Anogenital warts occur commonly at certain anatomic sites, including around the vaginal introitus, under the foreskin of the uncircumcised penis, and on the shaft of the circumcised penis. They are usually flat, papular, or pedunculated growths on the genital mucosa. In addition to anogenital warts, HPV types 6 and 11 have been associated with conjunctival, nasal, oral, and laryngeal warts.Īnogenital warts are usually asymptomatic however, depending on the size and anatomic location, they can be painful or pruritic. HPV types 16, 18, 31, 33, and 35 also are occasionally identified in anogenital warts (usually as infections with HPV 6 or 11) and can be associated with foci of high-grade squamous intraepithelial lesion (HSIL), particularly among persons who have HIV infection. These types can be commonly identified before or at the same time anogenital warts are detected ( 1206). Anogenital warts are a common disease, and 90% are caused by nononcogenic HPV types 6 or 11.
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