Condyloma acuminatum is the most common but one of the sexually transmitted disease research is not much, acuteness wet wart have many diffe
Condyloma acuminatum is the most common but one of the sexually transmitted disease research is not much, acuteness wet wart have many different names: genital warts, genital warts, genital wart, also called condyloma accuminatum. The most recognized is the first two names: condyloma acuminatum and venereal warts.
Condyloma acuminatum is a kind of epidermal hyperplasia disease caused by human papilloma virus, which is mainly transmitted by sexual activity. Acuteness wet wart is a common disease and frequently occurring disease, but it is difficult to cure 'easy to relapse' for a long time with infectious, seriously affect the patient's daily life, bring serious psychological burden. Specific reasons are as follows:
1, very common, is one of the most common sexually transmitted diseases, the sexually active population with high incidence, the incidence rate in China after non gonococcal urethritis and gonorrhea, sexually transmitted diseases accounted for third, the worldwide incidence was gradually increasing trend.
2, condyloma acuminatum is benign verrucous lesions. However, the data show that some genital papilloma virus infection is also associated with the occurrence of tumors.
3, the vast majority of patients with HPV infection without symptoms, subclinical infection status. More than 90% of clinically common condyloma acuminatum were caused by HPV6 or type 11. A large number of studies have shown that more than 50% sexually active adults infected with more than 1 types of genital HPV, most of these infections are subclinical or latent infection
4, latent period and may be infectious.
5, many clinical manifestations are not typical, and some skin diseases such as the confusion of pearly penile papules, frenulum of penis beside papules, villous nympha, syringoma, ectopic sebaceous gland, luster moss, flat condyloma (two syphilis), Bowenoid papulosis, and genital squamous intraepithelial neoplasia cell carcinoma. The clinical types of condyloma acuminatum are also typical condyloma acuminatum, papular wart, flat wart and subclinical infection
6, but not the exact diagnosis of complex: such as acetic acid test, microscopic examination of the images found by Pap in cervical intraepithelial lesions, lymph - examination, pathological examination and other non pathogenic diagnostic reference value is not very high; and immunohistochemistry detected HPV antigen positive antigen detection and polymerase chain reaction nucleic acid detection of HPV nucleic acid positive, although the detection of virus, but because the positive rate of clinical diagnosis of condyloma acuminatum can greatly exceed the value of the suspicious.
7, there is no effective anti HPV drugs, treatment can only be used to remove warts for the purpose of. The effect is not accurate, very easy to relapse, recurrence rate is about 20%~30%
8, long follow-up. Patients with condyloma acuminatum were followed up 1 times per week for the first 3 months after treatment (more than in the first 3 months). 3 months later, the patients were followed up for up to 6 months after the last treatment. Because the majority of scholars believe that, after 6 months of treatment without recurrence, the recurrence rate is reduced. A few patients infected more than 2 years of sustainable.
9, some special cases such as frequent recurrence of cases. Pregnancy, combined with HPV infection, is more complicated to deal with.