CONDYLOMAS ACUMINATES
SYMPTOMATOLOGY AND COURSE - Morbid form, due to an auto- and heteroinoculatable papovavirus (HPV), most frequently acquired through sexual contact. It is characterized by papilliform, asymptomatic, sometimes very numerous reliefs, the size of a pinhead, initially isolated and then regrouped in conglomerates similar to a cauliflower or a rooster's comb, pinkish or brownish in color, soft. Neoformations, if left untreated, can reach notable dimensions (ca. giants), especially in certain regions such as the vulvar and perianal region. They relapse very easily.
Papiliform reliefs, isolated or conglomerated, sessile or pedunculated
Frequent relapses
LOCATIONS - Genital regions foreskin, frenulum, urinary meatus, labia majora and minora, etc. Perianal region.
DIFFERENTIAL DIAGNOSIS Syphilitic flat condylomas: with a spatula, the infiltrated implant base can be observed; lesions rich in treponemes: coexistence of other manifestations of secondary lues. Serological reactions for syphilis were intensely positive.
THERAPY-Diathermocoagulation. Chemical cauterization (trichloroacetic acid, etc.). Surgical excision if very bulky.
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