The real “warts” refers to pseudo-warts and condyloma acuminatum, which can be distinguished from the patient’s history of exposure, symptoms, laboratory tests, and so on. 1. Contact history: Pseudo-warts, also known as vestibular papillomatosis, is a non-sexually transmitted disease, and the patient is usually not exposed to the human papillomavirus. Warts, on the other hand, are a contagious disease caused by human papillomavirus infection and are usually spread by sexual intercourse. 2. Symptoms: Pseudo-warts occur in the female pubic area, most of the dense small papules, can also be fluffy or fish seeds, a few patients will be itchy, can be self-cleaning. In the early stages of warts, there may be a single, multiple or groups of small, reddish colored particles, soft in texture and sharp at the tip. In the later stages, the skin lesions gradually increase in size, papillary, cauliflower-shaped, the color can be white, pink, gray, the surface will have erosion, ulcers, oozing and so on. 3. Laboratory tests: the most important means of distinguishing between the two is laboratory tests, such as vinegar-white test, pseudo-acromegaly lesions do not change color, acromegaly lesions become white. In addition, the histopathological examination, virology examination of pseudo condyloma has no obvious abnormality, while the results of acromegaly there are abnormal. If there is any discomfort, it is recommended to consult a doctor in time to clarify the cause of the disease and treat it as soon as possible.