[Condylomata acuminata: a rare symptom of ubiquitous human papilloma virus and not a sign of risky sex behavior].
In general, condylomata acuminata can be diagnosed and treated by the general practitioner. Condylomata are caused by certain types of human papillomavirus (HPV). According to their carcinogenicity HPVs are classified as high risk and low risk HPV. The benign condylomata are an infrequent sign of an infection with low risk HPV, while cervical cancer is a rare and late complication of an infection with high risk HPV. Because high and low risk HPV are different viruses, the risk of cervical cancer is not increased by condylomata. Anogenital HPVs are predominantly transmitted sexually. It is useful to discriminate between sexually transmitted diseases (STDs) that are ubiquitous, like infections with HPV or herpes simplex virus (HSV), and rare STDs like syphilis, gonorrhoea and HIV infection: infections with HPV and HSV are also common with unriskful sexual behaviour, while syphilis, gonorrhoea and HIV infection are almost exclusively associated with riskful sexual behaviour. It has been shown that double infections with HPV and Chlamydia trachomatis are not more frequent than may be expected by chance. The literature indicates that the presence of condylomata acuminata by itself is no reason to screen patients for other STDs.
Zielinski
G D
GD
Leids Universitair Medisch Centrum, vakgroep Huisartsgeneeskunde, Leiden.
Knuistingh Neven
A
A
van der Linden
J C
JC
Rozendaal
L
L
D003218:Condylomata Acuminata / Q000473:pathology / Q000821:virology*; D005260:Female; D006801:Humans; D008297:Male; D027383:Papillomaviridae / Q000302:isolation & purification*; D030361:Papillomavirus Infections / Q000150:complications* / Q000473:pathology / Q000821:virology; D012749:Sexually Transmitted Diseases / Q000473:pathology / Q000821:virology*; D014412:Tumor Virus Infections / Q000150:complications* / Q000473:pathology / Q000821:virology