Condyloma Accuminata

Diagnosis: Condyloma Accuminata

Condyloma Accuminata

Clinical Presentation

Condyloma Accuminata

Clinical History

Flesh-colored, exophytic papillomas in anogenital area. Sexual history. STI screening. HPV vaccination status.

Treatment

Patient-applied: imiquimod 5% cream, podofilox 0.5%. Provider-administered: cryotherapy, podophyllin resin, TCA 80-90%, electrosurgery, laser. HPV vaccination for prevention.

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, dermatology, kodachrome