1. Diagnostic criteria
1.1 Contact history History of non-marital sexual contact, spousal infection or indirect infection.
1.2 Clinical manifestations
1,2,1 In men and women, multiple pink, grayish-white or grayish-brown papules or papillae, corns or cauliflower-like raised redundancies appear around the genitals, perineum or anus, and occasionally in the oral cavity and breasts. A small number of papilloma-like proliferating giant condyloma acuminata, known as Buschke-giant condyloma acuminata
1.2.2 Symptoms Conscious itching, foreign body sensation, pressure or pain, often bleeding due to increased brittleness of the lesions. Women may have increased leucorrhea.
1.2.3 Females with condyloma acuminatum should be distinguished from pseudocondyloma (villiiform labia minora) and males from pearl-like penile papules. Males and females should also be differentiated from flat warts, Bowen-like papulosis, and genital sweat duct tumors.
1.2.4 Apply 5% acetic acid solution to the lesion and it will turn white after 3 to 5 minutes.
1.3 Laboratory tests
1.3.1 Biopsy of skin lesions Characteristic histopathological changes of concave hollow cells with HPV infection.
1.3.2 Antigen or nucleic acid testing in skin lesion biopsies showing HPV if necessary. commonly HPV types 6 and 11, and rarely HPV types 16 and 18.
1.4 Case classification
1.4.1 Reported cases with indicators 1.1 and 1.2
1.4.2 Confirmed cases have any of the indicators in 1.1, 1.2 and 1.3.
2. Treatment principles
2.1 Treatment principles
2.1.1 Pay attention to whether the patient has concurrent pathogenic infections such as gonococcus, chlamydia, mycoplasma, trichomonas, mycobacteria, etc., if so, they should be treated at the same time.
2.1.2 The patient’s spouse and sexual partner should be treated simultaneously if they have condyloma acuminatum or other STDs.
2.1.3 Avoid sexual intercourse during treatment.
2.2 Prognosis and healing
The prognosis for warts is generally good, but the recurrence rate is high.
2.3 Management and prevention
2.3.1 Condyloma acuminatum should be reported only once per patient. Patients who have not been diagnosed in the past should be reported at the time of first diagnosis.
2.3.2 Patients with condyloma acuminatum should avoid sexual intercourse or use condoms to prevent transmission to their spouse.
2.3.3 Patients should be treated early.
2.3.4 Strict adherence to monogamy is the best way to prevent this disease.