Condyloma acuminata

Background

Also known as anal warts
Usually related to HPV 6 and 11, which have less neoplastic potential than other HPV strains

Clinical Features

Anal warts

Vary from dot-like to large papilliform, cauliflower-like lesions
Pain, itching, bleeding, anal discharge
Perianal involvement often associated with vulvovaginal and penile lesions

Differential Diagnosis

Anorectal Disorders

Anal fissure
Anal fistula
Anal malignancy
Anal tags
Anorectal abscess
Colorectal malignancy
Condyloma acuminata
Constipation
Crohn's disease
Cryptitis
GC/Chlamydia
Hemorrhoids
- Internal hemorrhoid
- External hemorrhoid
Pedunculated polyp
Pilonidal cyst
Proctitis
Pruritus ani
Rectal foreign body
Rectal prolapse
Syphilitic fissure

Workup

Clinical

Management

Refer to specialist for electrosurgery, cryotherapy, trichloroacetic acid, or surgical excision[1]
Podophyllin solution/cream[2]
Imiquimod 5% cream[3]

Disposition

Outpatient

See Also

References

CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm
CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm
CDC Centers for Disease Control and Prevention : 2015 STD Treatment Guidelines. www.cdc.gov/std/tg2015/warts.htm

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