A lot of patients often think acuteness wet wart and flat wart are the same disease, in fact, otherwise. The difference is as follows:Typica
A lot of patients often think acuteness wet wart and flat wart are the same disease, in fact, otherwise. The difference is as follows:
Typical acuteness wet wart does not need lab examination to make a diagnosis commonly. When patients with atypical symptoms, the site is not typical, especially women, the vaginal orifice can be similar to the condyloma acuminatum of condyloma acuminatum, need for laboratory examination to confirm the diagnosis.
Commonly used laboratory tests are as follows:
(1) cytological examination was performed on the tissues of the vagina, cervix and so on. In the two cell smear can be seen, a cell nucleus surrounded by a halo, which accounts for most of the cytoplasm, and the cytoplasm was compressed concentrated to the edge of the cell called cell vacuolation, it comes from the superficial squamous cell; another type of cell called dyskeratosis cells can be located in the cytoplasm or single, orange red to pale yellow, the nucleus is small and compact. These two kinds of cells can be mixed in the smears of condyloma acuminatum.
(2) the main pathological changes of the tissues were the incomplete keratinization, the high thickness of the spinous layer and the papillary hyperplasia. There were obvious vacuoles in the upper layer and the upper layer. There is a considerable number of nuclear cells in the spinous cell basal cell, which is similar to the cancer, but the cell is split, and the boundary between hyperplastic epithelium and dermis is clear.
(3) histochemical examination to take a few tissue smears of antibody against human papillomavirus with specific dyeing. If a virus antigen in the lesions, then the antigen antibody binding, anti peroxidase in peroxidase (PAP) method, which can be dyed red nucleus. This method is specific and rapid, which is helpful for diagnosis.
The laboratory examination of condyloma acuminatum is still immature, and there is a certain rate of misdiagnosis in histology and histopathology.
Flat wet wart is caused by syphilis helicoid, it is a kind of typical skin expression of two period syphilis, often appear at the place such as perineal ministry, anus. For groups distributed in the genitals and anus. Parts of large and flat papules, often symmetrical, smooth surface. Moist. The color pink or pink, no obvious hyperkeratosis, soft texture, no pain. The realm of clear, after infection, erosion, discharge. There are a large number of Treponema pallidum papules in a large number of Treponema pallidum, infectious, secretions, if you do a dark field microscopy can be seen in Treponema pallidum. The serum reaction test of syphilis was positive and the negative of acetic acid test.
Because acuteness wet wart and flat wet wart are two kinds of different diseases, in the clinic to identify is very important, otherwise the treatment error, delay treatment.