Treatment of anal warts
HPV types 16, 18, 31, 33, and 35 are also occasionally found in anogenital warts usually as co-infections with HPV 6 or 11 and can be associated with foci of high-grade squamous intraepithelial lesions HSIL , particularly in persons who have HIV infection. In addition to anogenital warts, HPV types 6 and 11 have been associated with conjunctival, nasal, oral, and laryngeal warts. Anogenital warts are usually asymptomatic, but depending on the size and anatomic location, they can be painful or pruritic. They are usually flat, papular, or pedunculated growths on the genital mucosa. Anogenital warts occur commonly at certain anatomic sites, including around the vaginal introitus, under the foreskin of the uncircumcised penis, and on the shaft of the circumcised penis.
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The management of anal warts
The incidence of condylomata acuminata, commonly known as anogenital warts, is increasing. These guidelines conform to recommendations as for a Cochrane review and focus on sharing management between specialists and primary care physicians. There has been a shift in the focus of treatment towards topical self treatment for patients, using agents such as podophyllotoxin 0. Clearance rates seem to be equivalent for the two drugs. In many patients imiquimod, which modifies the immune response, may induce the necessary cell mediated immune response for clearance, and it has a low relapse rate. A study is needed to directly compare imiquimod with podophyllotoxin to address issues of comparative effectiveness, cost, and psychosexual advantages. Podophyllin, 5-fluorouracil, and interferons are no longer recommended for use in primary care because of their low efficacy and toxicity.
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Anal Warts and Anal Dysplasia Expanded Information
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Anal warts also called "condyloma acuminata" are a condition that affects the area around and inside the anus. They may also affect the skin of the genital area. They first appear as tiny spots or growths, perhaps as small as the head of a pin, and may grow quite large and cover the entire anal area.
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