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Condyloma Acuminata : Age & Location

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Age: Condyloma acuminata most frequently occur in sexually active individuals between the ages of 20 and 40 years, when they may be associated with other genital infections. They are rare in children and should raise the concern for sexual abuse. Anogenital warts are common in HIV-infected individuals. Children born to mothers with condyloma acuminata may get infected during delivery and develop juvenile laryngeal papillomas. They are caused by HPV types 6 and 11.

Clinical Appearance: Condyloma acuminata occur as soft, fleshy, cauliflower-like or papillary exophytic masses or as filiform plaques on corona of glans penis, urethral meatus, fossa navicularis, penile shaft, or scrotal skin. Large or extensive lesions around meatus may extend proximally with formation of urethral or bladder condylomata.

When involving vulva, the lesions may be bulky, soft and macerated, with extension into the introitus. Both sexes may show lesions in perineum and anal region (as shown in this image). Intra-anal warts can develop via receptive anal sex. HPV may also infect conjunctiva, mouth and nasal passages.

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