HPV

Question 1

What is HPV

Answer 1

Human papiloma virus-
2 types classically -
low risk -low numbers 6 and 11- genital warts
and high risk (16-18)- CIN, VIN, VAIN -70% of cervical cancers

aetiology -usually tranmission by physical and sexual contact
RF - Smoking, multiple sex parnter, unprotected sex, imunosupresssion

Question 2

Sx of Ix of HPV

Answer 2

Asymptomatic most of time

or genital warts for
warts on vulva vagina cervix, anus (can bleed/itch, become infected)
pink red brown papules

4 types - small popilar, cauliflower, keratotic, flat

Ix - clinical diagnostic with dermatoscope
cervical exam, speculum
histology and cytology (biopsy and smear

Question 3

Mx of HPV

Answer 3

Medical - imiquimod cream or Podophyllin- CONTRAINDICATED in pregancy

Surgical- Cryotherapy, laster, electrocautery

Prevention - Gardasil HPV vaccin goes for all 4 types–
all children 12-13