[Anogenital condylomata in the children. Practice guidelines for a medical expertise].
Belgium has been confronted to cases of paedophilia for years. It seems adequate to suggest some guidelines in cases of a child or a teenager diagnosed with ano-genital warts during a consultation. They are not always the consequence of sexual abuse. Three contaminations are possible: ante natal and peri natal (in utero or during delivery), by direct contact (auto or hetero inoculation), through sexual contact. This trusted practitioners to handle this unusual situation from the child protection, to multidisciplinary management and judicial prosecution against suspect. When using some different way to know what kind of HPV type; it's possible to give some information about transmission and it's possible to do confrontations with the results of the lesions' suspect. It is also interesting to identify very highs oncogenic potential HPV for the survey's patient. Finally the most important is to know that the most recurrences result into reactivations from infra-clinically infections and are not new contaminations. It is important do not drop a new suspicion through hypothetic contaminator.
Vanhooteghem
O
O
Service de Dermatologie, CHU Sart Tilman, Liège. ovanhooteghem@hotmail.com
Müller
G
G
de la Brassinne
M
M
D000293:Adolescent; D001530:Belgium / Q000453:epidemiology; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis*; D002675:Child, Preschool; D003218:Condylomata Acuminata / Q000453:epidemiology / Q000209:etiology / Q000628:therapy / Q000821:virology; D005260:Female; D005831:Genital Diseases, Female / Q000453:epidemiology* / Q000628:therapy / Q000821:virology; D005832:Genital Diseases, Male / Q000453:epidemiology* / Q000628:therapy / Q000821:virology; D006801:Humans; D008297:Male; D027383:Papillomaviridae / Q000302:isolation & purification; D017410:Practice Guidelines as Topic