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 identified with condyloma acuminatum.
1, pseudo warts: mainly occurs in the female labia minora, especially the inner labia minora and vaginal vestibule, is symmetrical intensive distribution, 1-2mm diameter light red or white papules, smooth surface, fluffy or caviar appearance, sometimes can be polypoid papules, can be long-term presence, generally no obvious conscious symptoms, acetic acid white test negative, HPV DNA test or pathological examination to help identify. The appearance may be due to physiological variation or increased irritation of the leucorrhoea caused by Candida albicans.
The actual treatment strategy: generally no treatment is needed to keep the local cleanliness, dryness, and reduce local stimulation.
2, penile pearl-like papules: penile coronal groove 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 of arrangements, 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.
Treatment strategy: No treatment is generally required.
3, sebaceous gland ectopic disease: occurring in the glans penis, labia mucosa, oral cavity, as yellow pinpoint and corn-sized papules, no obvious higher than the skin surface of the skin in the memory of the accumulation, without any discomfort. It can last for several years without change.
Treatment strategy: generally no treatment is needed.
4, Bowen-like papulosis: damage is located in the male glans, penile stem, female perianal and labia, etc., as multiple small reddish-brown papules, 2-10mm in diameter, can fuse into plaques, mostly seen in sexually active people under 40 years old. Syphilis serologic tests and syphilis spirochetes are negative, and pathologic examination helps to differentiate. It is mainly due to human papillomavirus high-risk type 16 and 18 (HPV16 and 18) infection.
Treatment strategy: basically the same as the treatment of condyloma acuminata.
5, angiokeratoma: mostly seen in middle-aged men’s scrotum, a purplish red pinhead to soybean papules, the surface is mildly keratinized, the white acetate test negative.
Treatment strategy: generally do not need treatment, but also available freezing, laser or electrocautery treatment.
6, flat eczema: for the second phase of syphilis rash, often occurring in the perianal and vulva, manifested as hypertrophic plaques, the surface is flat and erosion, there can be dense particles in the form of papillae, cauliflower-shaped, broad base. Most of them have a history of chancre and other syphilis rash damage, dark field examination can detect syphilis spirochetes and positive syphilis serology reaction.
8, folliculitis: mainly due to bacterial infection, in the hair 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 itching and slight pain, 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 nodules can be palpated at the base, which are painful and can exist singly or occur simultaneously.
Treatment strategy: mostly oral and topical antibiotics.
9, papular syphilis rash: papules are round, slightly elevated, red to dark red, 2-5mm in diameter or larger, infiltrate when touched, mostly without conscious symptoms. Circumscribed syphilis rash is commonly found 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.
Treatment strategy: according to syphilis treatment method.
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, covered with oily pale white scabs or dry and rough, with clear boundaries with normal tissue, without conscious symptoms.
Treatment strategy: generally do not need to deal with, also available freezing, laser or electrocautery treatment, if necessary, surgical treatment.
11, warty xanthoma: the oral cavity, female pubic, penis, scrotum, for yellowish warty damage.
Treatment strategy: generally no treatment is needed, but can also be treated by freezing, laser or electrocautery.
12.Genital squamous cell carcinoma: Most commonly found in people over 40 years old, often appearing on the basis of the original chronic skin lesions. The damage infiltration is obvious, hard and often forms ulcers. No history of impure sexual intercourse and histopathological examination can identify.
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The actual fact is that there are many ways to treat condyloma acuminata, including physical therapy, topical medication and systemic therapy, depending on the size, location, number of rashes and the patient’s general condition, especially the immune status of the body.
13: Condyloma acuminatum treatment strategy.
(1) available electrocautery, laser, freezing or surgical treatment.
(2) Local drug treatment can be 0.5% footleaf toxin (ghost toxin), 20% footleaf lipid benzoin tincture, 5% 5-fluorouracil cream or 2-5% 5-fluorouracil solution, 80-90% trichloroacetic acid solution, 3% peptide butylamine cream, 2-8% colchicine solution, 5% imiquimod cream (to promote the production of interferon and other cytokines) or paterin solution.
(3) For recalcitrant anal warts and perianal warts, autologous vaccine therapy is feasible.
(4) Repeatedly, interferon can be injected locally or intramuscularly. It is also possible to use polymyxin, thymidine, Wilburn and Skykom (BCG) intramuscular injection to improve the body’s immune function.
(5) The latest photodynamic therapy is more effective and can prevent recurrence.
Remind patients that there are many drugs and treatments for condyloma acuminata, each drug and method has its advantages and disadvantages, and can not say which one drug or method is the best, according to the situation of each patient Jia director invented the external use of half a lotus cream prevention for good, by domestic experts praise, up to the domestic advanced level.