Condyloma Acuminatum

Condyloma Acuminatum is simply an hypertrophic common wart occurring on the genitalia and the peri-anal region, very frequently in the sexually promiscuous young adults. The papillomatous or vegetating verrucous lesion, pedunculated as a rule is typical.

Secondary infection may produce a little purulent discharge; the base is not infiltrated. Infection is contracted during sexual intercourse or accidentally through the fingers.

Diagnosis of Condyloma Acuminatum

The differential diagnosis is made from condylomata lata (See Chapter 18). In longstanding cases. giant condyloma acuminatum of Buschke and squamous cell carcinoma must be excluded by microscopic examination. Genital warts are often acquired along with other venereal infections and as such tests for syphilis and gonorrhoea should also be carried out.

Symptoms and Cause of Condyloma Acuminatum

All warts are papillomatous, epidermal hypertrophies, seen as hyperkeratosis and acanthosis with finger-like processes in the corium. Vacuolation of the prickle cells is characteristic of viral affections. Only in the plantar warts and condyloma acuminatum slight or moderate lymphocytic infiltration is present in the upper corium. Inclusion bodies can be well demonstrated only in plantar warts.

Warts
Plantar Warts