Genital warts Flashcards
What causes genital warts and how are they transmitted?
Genital warts (Condylomata acuminata) are caused by Human Papilloma Virus (HPV).
They are transmitted through direct contact, usually via sexual intercourse or sometimes by infected hands.
Transmission from mother to child during childbirth is also possible.
How do genital warts behave in pregnancy and immune suppression?
Genital warts may show accelerated growth during pregnancy, often followed by spontaneous reduction after childbirth.
Excessive growth occurs in immune-suppressed patients.
What tests should be performed for patients with genital warts?
Patients should have syphilis serology checked.
Women with genital warts should have a Pap smear taken.
How is Podophyllin used to treat genital warts, and what is its key contraindication?
Apply Podophyllin 10-25% solution to the warts, protecting surrounding skin with vaseline.
Leave it on for 4-6 hours, then wash off with water and soap.
Repeat weekly until cleared.
Podophyllin is contraindicated in pregnancy.
What treatment can be used for genital warts in pregnancy?
Trichloroacetic acid 50-88% solution, applied in the clinic, may be used during pregnancy.
What other treatment options are available for genital warts?
Cryosurgery with liquid nitrogen.
Cauterization of large or refractory genital warts, though it is controversial in immune suppression.
What topical treatment can be used to prevent recurrence of genital warts, and what is its contraindication?
Topical 5% 5-fluorouracil cream (Efudix) may be used once daily to once weekly for up to 6 months after other treatments to prevent recurrences.
Efudix is contraindicated in pregnancy.
What should be done for the partners of patients with genital warts?
Partners should be examined and have syphilis serology performed
