6 Dewi Genital Warts
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Transcript of 6 Dewi Genital Warts
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GENITAL WARTS
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DEFINITION
Genital warts the most
common STD caused by certaintypes of Human Papilloma Virus
(HPV) characterized by fibro-
epitelioma lesions on the sin !
mucous membrane"
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ETIOLOGY
#ore than $% types of HPV"
#ost often caused by HPV &
types ' ! low rade type
types '* +* , ! ,, hih
rade types cerical
carcinoma ! other malinancy"
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CLINICAL MANIFESTATIONS
./ophytic* filiform* cauliflower-
shaped warts
#ultifocal* usually 0-0* in areas
of trauma durin se/* may
coalesce* especially in
immunosuppressed"
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Papul verukosa, vegetasi
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1 morpholoic types &
2ccuminata"
Papular warts"
3eratotic warts"
4lat-topped papules
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1. Accuminata1. Accuminata
.specially in body folds !wet enital areas"
5auliflowerlie appearance"
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2. Papular warts2.Papular warts
4lesh-colored* domeshaped
papules"
6sually -1 mm in diameter"
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3. Keratotic warts3. Keratotic warts
Hae a thic* crust-lie layer !
may resemble common sin
warts or seborrhoeic
eratosis"
4. Flat-topped papules4. Flat-topped papules
#acular to slihtly raised"
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DIAGNOSIS
2cetowhite after application
of 0 7 acetic acid (, minutes)
Sin biopsy
HPV D82 detection
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DIFFERENTIAL DIAGNOSIS
Pearly penile papules"
5ondyloma lata"
S9uamous cell carcinoma"
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TREATMENT
" 5hemotherapy &
Podophyllin tincture %-:0 7 Podofilo/ %*07 solution
Trichloroacetic acid (T52) 0% 7
0-4luorouracil cream
;mi9uimod 0 7 cream
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:" Surery &
Scapel surery
.lectrocauter
5ryosurery
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Prenancy
o ;mi9uimod* podophyllin*podophyloto/in not beused in prenancy
o =is of transmission to theinfant (&1%%) leadin tolaryneal papillomatosis
#anaement se/ual contactsshould be e/amined ! clinicalwarts treated
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FOLLOW-UP
5lear information& cause*treatment* possible complication
5ondoms& with new partners till
clearance is achieed* reularpartners already e/posed"
=eular cytoloy for females
5urrent partners ! recent (' month)partners assessed for HPV !
other ST;
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