The actual fact that some doctors only pay attention to the genital area of the genital area of the skin damage, but ignore the other diseases can also lead to the same symptoms, the result is blindly and recklessly is not acutely warts misdiagnosed as acutely warts, or some informal medical departments or wandering doctors in order to economic interests and deliberately to the general skin disease diagnosis acutely warts, to patients cause unnecessary pain and mental stress, but also may The following are some of the related conditions that need to be distinguished from condyloma acuminata.
1, pseudo warts
The appearance may be due to physiological variation or vaginal Candida albicans resulting in increased leucorrhoea stimulation.
2.Pearl-like papules of the penis
The coronal groove of the penis along the edge of the glans, 1-3mm diameter white, skin color or light red pearl-like papules, smooth surface, do not fuse with each other, a row or several rows arranged, long time change is not significant, no conscious symptoms, no history of unclean sexual intercourse, white acetate test is not white. It can last for decades without change.
3.Sebaceous gland ectopic disease
It occurs on the glans penis, mucous membrane of the labia and oral cavity, and is a yellow pinpoint and millet-sized papule, with no obvious accumulation of skin above the skin surface and no discomfort. It can last for several years without change.
4, Bowen-like papulosis
The damage is located on the glans and penile shaft in men, and on the perianal and labial areas in women. It is a multiple small reddish-brown papule, 2-10 mm in diameter, which can fuse to form a plaque, mostly seen in sexually active people under the age of 40. Syphilis serologic tests and syphilis spirochetes are negative, and pathologic examination helps to differentiate. It is mainly caused by human papillomavirus high-risk type 16 and 18 (HPV16 and 18) infection.
5.Angiokeratoma
The scrotum of middle-aged males is mostly seen as a purplish-red pinhead to soybean-sized papule with a mildly keratinized surface and a negative white acetate test.
6, flat warts
It is often found in the perineum and vulva, and is characterized by hypertrophic plaques with a flat and eroded surface, and may have dense particles in the form of papillae or cauliflower, with a broad base.
7, infectious molluscum contagiosum
8, hair follicle inflammation
The main bacterial infection caused by the hair in many places, such as the male mons pubis, scrotum, female mons pubis, the outer labia and perineum and around the anus, for follicular inflammatory papules, self-conscious slightly itchy and slightly painful, a few days after the self-resolution and healing, without scarring. Sometimes there are pus spots on the top of the papules, surrounded by redness and swelling, and hard nodes can be palpated at the base, which are painful and can exist singly or occur simultaneously.
9.Papular syphilis rash
The papules are round, slightly elevated, red to dark red, 2-5mm in diameter or larger, infiltrated to the touch, and mostly without conscious symptoms. Circumscribed syphilis rash is common on the pubic area, especially on the penile shaft and scrotum. The rash is circumscribed, bow-shaped or gyrate, with a scaly surface and mildly elevated edges, consisting of tiny flat papules, and is positive for syphilis seropositivity.
10.Seborrheic keratosis
This disease is mostly seen in middle-aged and elderly people, mainly manifested as oval or irregular patch-like micro-rises or papilloma-like projections on the vulva, the surface is covered with oily pale white scabs or dry and rough, with clear boundaries with normal tissue, without conscious symptoms.
11.Warty xanthoma
Prevalent in the oral cavity, female genitalia, penis, scrotum, yellowish warts-like damage.
12.Genital squamous cell carcinoma
Most commonly seen in people over 40 years old, often appearing on the basis of the original chronic skin lesions. Damage infiltration is obvious, hard and often forms ulcers. No history of impure sexual intercourse, histopathological examination can be identified.