Clinical Features
Condyloma acuminatum (Human papilloma virus) Cauliflower-like warts. May be single or multiple on the vulva, vagina, perineal area, penis, urethra and sub-prepucial. Vaginal discharge, pain and bleeding on coitus or touch may occur.
Molluscum contagiosum (Pox group virus) Umbilicated multiple papules with whitish, cheesy material being expressed when squeezed. Secondary infection and spread to other sites may occur.
Secondary syphilis should be ruled out when evaluating genital venereal warts |
Management
• Apply podophyllin 25% in tincture of benzoin carefully to each wart, protecting the normal surrounding skin with petroleum jelly. Wash off the podophyllin thoroughly 1-4 hours later. Repeat 1-2 times weekly. If there is no regression after 4 applications, use one of the alternative treatments given below or refer
• Alternative treatments: Podophyllotoxin 0.5% electrosurgery, cryotherapy, 5- Fluorouracil, surgical removal, silver nitrate pencil application.
• Pregnancy Podophyllin should not be used in pregnancy, neither in vagina, cervical, internal urethral, anal or oral warts. Alternative regimens may be used, except 5- Fluorouracil and Podophyllotoxin.
