Genital warts (condyloma acuminatum)

Diagnosis: Genital warts (condyloma acuminatum)

Pink-to-brown papillomatous nodules and plaques on the perianal area.

Clinical Presentation

Pink-to-brown papillomatous nodules and plaques on the perianal area.

Clinical History

Submitted by Alaa Saad. Originally posted October 23, 2010.

Treatment

See case discussion.

Differential Diagnosis

• Seborrheic keratosis • Squamous cell carcinoma • Molluscum contagiosum • Corn/callus • Actinic keratosis

Key Learnings

• Caused by Human Papillomavirus (HPV) • Thrombosed capillaries appear as "black dots" • Spontaneous resolution in ~65% within 2 years in immunocompetent patients • Multiple treatment approaches often needed

Tags: genital, warts, condyloma, acuminatum, alaa saad