Human Papilloma Virus (HPV) - genital warts

Question 1

Which HPV viruses causes genital warts?

Answer 1

HPV 6 and 11 = > 90% of cases

Question 2

What are the risk factors/aetiology of genital warts?

Answer 2

STI

• young age (risky behaviour)
• non-barrier protection
• recent change in sexual partner
• > 2 sexual partners in a year

Question 3

What are the clinical features of genital warts?

Answer 3

WARTS

• Skin tags on genital and perianal areas
• May or may not be pendunculated
• Can occur in clusters
• May bleed or itch

-Infected partner maybe asymptomatic

Question 4

How are genital warts diagnosed?

Answer 4

Visual examination alone

Question 5

How are genital warts treated?

Answer 5

• Very difficult to eradicate infection
• May resolve spontaneously

MEDICATION

• Topical podophyllum (1st line)
• Topical Imiquimod

SURGICAL

• Cryotherapy
• Electrocautery