Abstract
A 20-year-old woman, Linda, attends you as her General Practitioner. For the past 2 weeks she has noticed several swellings in the genital area. These are painless, but mildly itchy. She has not noticed lumps elsewhere on her body and she has not had generalized itch. Her general health is good, she is not receiving any medication, and she has no significant past medical history. Her periods are regular, the most recent having been 1 week previously. For the past 4 months she has been in a regular relationship with a 22-year-old man who has not noticed any genital abnormalities. Condoms are almost always used for vaginal intercourse. About 7 months ago she separated from her previous partner with whom she had been in relationship for 3 years. She has had no other sexual partners.
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Notes
- 1.
Other morphological types of warts occur on the genitalia:
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Papular warts, appear as flesh-colored papules.
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Keratotic warts that are crusted, resembling skin warts. They tend to be found in dry areas such as on the external labia majora or pubic skin.
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- 2.
On the basis of nucleic acid studies, more than 100 types have been reported. Four of the most common HPV types that infect the genital tract are HPV-6, HPV-11, HPV-16, and HPV-18. The former two types are found in hyperplastic anogenital warts, and, as they are not associated with cervical cancer, are designated “low-risk” types. Types 16 and 18, however, are frequently detected in anogenital cancers and are classified as “high-risk” types. Infection with multiple viral types, however, is common.
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© 2009 Springer-Verlag London
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McMillan, A. (2009). A Young Woman with Genital Lumps. In: Sexually Transmissible Infections in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-84882-557-4_15
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DOI: https://doi.org/10.1007/978-1-84882-557-4_15
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