Infection - Genital warts

Question 1

What causes genital warts?

Answer 1

Human papillomavirus 6 + 11

Question 2

What types of warts can come up on the body ?

Answer 2

Genital warts
Common warts
Plantar warts (verrucas)
Flat warts

Question 3

Which HPV predisposes to cervical cancer?

Answer 3

HPV 16
HPV 18
HPV 33

Question 4

What risk factors for HPV?

Answer 4

Early age of first SI

High numbers of SI partners

No barrier protection

Immunosuppression

Question 5

Presentation of genital warts?

Answer 5

Painless lumps in genitals or anal area

2-5mm may be slightly pigmented

Keratinised or non keratinised cauliflower like growths

Question 6

Conservative approach may be used if patient doesmt care for apperance

if they want active treatment?

Answer 6

Podophyllotoxin : anti viral 1st line -> non keratinised multiple warts

Cryotherapy : freezing L nitrogen 1st line -> solitory nodule

Imiquimod : immune modifier to fight virus 2nd line