condyloma accuminata

Diagnosis: condyloma accuminata

multiple skin coloured warty papules with a rough surface at the perianal skin.

Clinical Presentation

multiple skin coloured warty papules with a rough surface at the perianal skin.

Clinical History

Submitted by sameh elseiny. Originally posted March 26, 2011.

Treatment

See case discussion.

Differential Diagnosis

• Condylomata lata (secondary syphilis) • Pearly penile papules • Seborrheic keratosis • Squamous cell carcinoma • Bowenoid papulosis • Molluscum contagiosum • Skin tags

Key Learnings

• Caused by HPV, primarily types 6 and 11 (low-risk, non-oncogenic) • Soft, skin-colored to pink, verrucous papules in anogenital region • Must distinguish from condylomata lata of secondary syphilis — flat, moist, gray lesions • Bowenoid papulosis (HPV 16): pigmented papules that can look similar but have higher malignancy risk • HPV vaccination (Gardasil 9) prevents 90% of genital warts • May grow rapidly during pregnancy and immunosuppression • Giant condyloma (Buschke-Löwenstein tumor): locally aggressive variant

Tags: condyloma, accuminata, sameh elseiny