1.What is condyloma acuminatum?
A: It is a skin disease caused by the human papilloma virus (HPV). In our country, condyloma acuminata is also one of the most important sexually transmitted diseases, is the 2nd or 3rd sexually transmitted disease in many areas. The number of people suffering from the disease is still on the rise year by year.
2.What is HPV?
A: HPV is the human papillomavirus. HPV is a DNA virus with obvious host and tissue specificity. The human skin and mucous membranes of the complex squamous epithelium on the only – host of HPV, has not been successfully cultured in vitro. Viral particles are 50-55 nm in diameter, which is very small and cannot be seen with a light microscope, but only with the aid of an electron microscope. The current genotyping of subtypes has reached more than 200, of which more than 30 subtypes are associated with the occurrence of condyloma acuminata.
3.What are the high-risk and low-risk types of HPV?
A: clinically, according to the HPV subtype pathogenic power or cancer risk is different, can be divided into low risk type and high risk type of HPV. Low-risk types mainly cause condyloma acuminata in the anus, external genitalia, urethral orifice and lower vagina, as well as low-grade cervical intraepithelial neoplasia CINⅠ. For example, HPV6 subtypes 11, 30, 39, 42, 43 and 44. In addition to genital warts, high-risk types can cause external genital cancer, cervical cancer and high cervical intraepithelial neoplasia CIN Ⅱ, CIN Ⅲ, such as: HPV16, 18, 31, 33, 35, 45, 51, 52, 56, 58, 61, etc., especially HPV16, HPV 18.
4, male condyloma acuminata have what performance?
A: Male condyloma acuminatum is good in the circumcision, coronal groove, foreskin, urethra, pubic spasm, around the anus and scrotum.
5, what is the performance of female condyloma acuminata?
A. The female warts are mainly seen in the vagina, especially in the clitoris, labia, vagina, around the anus and cervix, the damage is papillary, coronary or fusion into cauliflower, size varies, part of the fusion into pieces or plaque performance. Women can usually detect vulvar or perianal damage through self-examination, but HPV infection occurring in the vagina and cervix is more insidious and not easily detected. Patients are prone to ignore the occurrence of the disease.
6, what are the special parts of the condyloma acuminata?
A: Now the dermatology clinic in the perianal, anal canal, rectal condyloma patients are not a few, there are many homosexual anal sex behavior contracted, there are some heterosexual seeking sexual lifestyle diversity and anal sex contracted, and some are through the hands of their own inoculation or contaminated washing utensils contracted. The perianal warts often increase in size, look like cauliflowers, have a moist or bleeding surface, and can emit a foul odor. The actual fact is that you can find a lot of people who have been in the business for a long time.
7, male condyloma acuminata is most likely to be confused with what disease?
A: penile pearl-like papillomatosis
8, female condyloma acuminatum is most likely to be confused with what disease?
A: Pseudocondyloma
9, condyloma acuminatum is good for who?
A: The disease is more likely to have an unclean sex life of sexually active people, 20 to 40 years of age most of the age group.
10, condyloma acuminata are through unclean sex infected?
A: 70% of the population infected with warts is due to sexual contact infection, and 30% of the patients are infected by non-sexual contact transmission, such as 1.contact items infected 2.medical transmission 3.smoke transmission 4.mother-to-child transmission 5.self-inoculation infection.
11, how long is the incubation period of condyloma acuminata?
A: From the HPV infection of human skin mucous membranes to condyloma acuminata damage needs a period of time, this period of time known as condyloma acuminata incubation period. The length of the incubation period of condyloma acuminata varies from person to person, generally ranging from 2 weeks to 10 months, with an average of 3 months. The actual fact is that you can find a lot of people who have been in the business for a long time.
12, condyloma acuminata can not treat themselves well?
A: Some foreign scholars speculate that 1/3 of the initial external genital warts can subside within 6 months, 2/3 of the warts will not subside, and further development. The actual clinical observation is that spontaneous regression is very rare, and because it grows in the genital area, patients have an urgent desire for treatment.
13.Will warts occur after a person is infected with HPV?
A: Not necessarily, because there are many diseases caused by HPV infection besides warts, such as flat warts, plantar warts, common warts, Bowen-like papulosis, cervical cancer, cervical intraepithelial neoplasia, vulvar intraepithelial neoplasia, penile intraepithelial neoplasia, perianal intraepithelial neoplasia, squamous skin cancer, warty epidermal dysplasia, etc.
14.What are the results of HPV infection in human body?
A: 1) long-term latent infection 2) subclinical infection, 3) cause a variety of skin diseases, including condyloma acuminata 4) the development of tumors 5) self-receding
15, what is the latent infection of condyloma acuminata?
A: HPV latent infection refers to the presence of HPV viral DNA but not the formation of viral particles, cell morphology is also normal, HPV latent infection can not be diagnosed through cytology or histology, but can be confirmed through DNA testing.
16.What is subclinical infection of condyloma acuminatum?
A: HPV subclinical infection refers to patients without symptoms and signs, but there are cytological abnormalities consistent with HPV infection, which can be clinically confirmed by cervical smear, colposcopy, tissue biopsy, white acetate test or DNA test.
17, can the acetic acid test confirm the diagnosis of condyloma acuminata?
A: No, for atypical warts, doctors often use the white acetate test to aid in diagnosis, with high accuracy, but this can not be considered the gold standard for confirming the diagnosis. The actual fact is that you can find a number of methods to confirm the diagnosis of the atypical condyloma.
18, why warts always recur?
A: There are more factors that lead to the recurrence of warts, such as HPV subclinical infection and the existence of latent infection, incomplete treatment of warts, HPV reinfection between spouses, poor self-immunity, male circumcision or circumcision, female leucorrhoea or vulvar moisture, their own inoculation transmission, contact with HPV-contaminated items, psychological and mental long-term depression and tension, can not follow the medical advice of regular follow-up, excessive smoking and alcohol consumption, etc. The reason for this is the fact that the company’s business is not a good one.
Why is condyloma acuminata transmitted through skin lesions?
A: Humans are the only hosts of HPV.
HPV enters the epithelial cells of the skin and mucous membranes before there is first a break in the skin and mucous membranes. This breakage may be minor and often invisible to the naked eye, or it may be a more obvious injury. The small damage caused by sexual intercourse, scratching, and friction can give HPV a chance to enter the body.
20.Does HPV spread through the bloodstream in patients with condyloma acuminatum?
A: No. HPV can be detected only in the cells of the granular layer of the epidermis and its upper part
DNA and viral particles.” After the virus enters from the site of infection, it survives only in the epidermal layer of the skin and mucous membranes, and the virus particles are not detectable in other parts of the body except for the cells in the epidermal granular layer and its upper part.
21.Is it accurate to take a blood test to diagnose condyloma acuminata?
A: No. HPV infects humans mainly through direct or indirect contact with contaminated objects or sexual transmission. The virus invades the body and stays in the skin and mucous membranes of the infected area without producing viraemia. Within 1 to 2 months of the appearance of the infected lesion, the corresponding antibodies are produced in the blood against the infected virus, and at this time, if the blood is drawn for examination, the result will be positive, and the positive rate is around 50-90%. HPV has more than 200 types and can cause more than 10 kinds of diseases, such as flat warts, common warts, condyloma acuminata and other diseases. An ordinary person with a wart will probably have a positive blood test for HPV. However, a positive result does not mean that the person has an STD or condyloma. This is why a blood test cannot verify if you have warts.
22, what are the treatment methods for condyloma acuminata?
A: Photodynamic therapy, microwave therapy
The actual fact is that you can find a lot of people who are not able to get a good deal on this kind of things. The specific treatment with what therapy, need to be based on the patient’s condition, by the doctor and patient to decide.
23, photodynamic therapy for condyloma acuminata has what advantages?
A: 1, the treatment of drugs to be HPV virus infected skin mucous membrane cells have a high degree of selectivity; 2, non-toxic, harmless and non-invasive; 3, the only one of the HPV subclinical infection and warts at the same time with the role of smelting therapy; 4, photodynamic therapy has a low recurrence rate of only 5 to 10%. The other recurrence rate is 30-40%. 5, the treatment has a diagnostic value at the same time. 6, the urethral opening, urethra, cervix, rectum or anal canal warts and other therapies can not effectively treat the special parts of the same treatment.
24, with anti-viral drug infusion can be a good treatment for condyloma acuminata?
A: Anti-viral broad-spectrum drugs on the herpes virus is certainly effective, but the HPV virus that causes warts is not supported by evidence-based medicine, and clinical use or not the efficacy of the difference is not significant. The actual cost of this type of drug infusion will be very high.
25, can warts be prevented with HPV vaccine?
A: HPV vaccine is mainly used to prevent cervical cancer and is suitable for the following groups: (1) 12
The HPV vaccine is suitable for women aged 12 to 26 who are not sexually active, and parents of women aged 9 to 12 should discuss with their physicians whether to have the vaccine. (2) Women over 26 years old can decide whether or not to have the injection based on the physician’s recommendation and assessment of financial ability. (3) Females who are sexually active and have undergone a negative cervical film test within one year are eligible for injection. (4) Men can discuss with their physicians whether to inject according to their sexual activity.
26, pregnant women condyloma acuminata why fast growth?
A: warts combined with pregnancy, due to pregnancy after the immune function is low, the body hormones, especially the influence of estrogen, Yin Tong mucous membrane congestion, increased secretions lead to vaginal mucosa moist, conducive to papilloma virus growth and reproduction.
27, how to treat condyloma acuminata in pregnant women?
A: Because no treatment will continue to develop, and the traditional topical drug treatment of pregnant women warts may cause fetal abnormalities, freezing, laser treatment may cause abortion; so generally speaking, pregnant women with warts should be recommended to terminate their pregnancy. If a pregnant woman insists on continuing her pregnancy, she can be followed up by a dermatologist and an obstetrician-gynecologist. If there is any uncomfortable reaction, the patient should be seen promptly. To avoid infection to the newborn, a transabdominal cesarean section is recommended to remove the fetus during delivery. The current recognized treatment effect is more accurate photodynamic therapy.
28, condyloma acuminata patients what are the misconceptions of treatment?
A: the demand for a one-time complete eradication never to recur, suspected virus in the blood transmission, because of the recurrence of treatment and even life.
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
29, condyloma acuminata patients how to have a sex life?
A: Patients with condyloma acuminata during the onset, during treatment should avoid sex, according to the authors of statistics at home and abroad, some recurrence cases of data show that 85% of patients with condyloma acuminata recurrence interval in about 1 to 2 months. Therefore, within 3 months after treatment without recurrence, you can wear condoms to have sex or listen to medical advice. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who have been in the business for more than 6 months and still have the possibility of relapse.
30, condyloma acuminata patients should pay attention to reduce or prevent recurrence in their lives?
A: To the regular hospital dermatology early treatment do not believe in advertising, follow the doctor’s advice and timely follow-up, no sex during the treatment and bring sex partners at the same time, pay attention to ironing clothes and pants and share bathing utensils, to maintain a good lifestyle, food therapy is appropriate, exercise, do not work, do not drink less smoke. Under the guidance of a doctor, topical imiquimod can be used to prevent or reduce recurrence.