The natural history of condyloma in children - 09/09/11
Abstract |
Background: Condyloma acuminatum, an infection caused by human papillomavirus (HPV), has become one of the most common sexually transmitted diseases. Correspondingly, anogenital warts are more frequently diagnosed in children. Twenty-five years ago a landmark prospective study showed that untreated common cutaneous warts in children spontaneously regress within 2 years in two thirds of cases, but a similar study of condyloma has not been published. Several treatment options are available for condyloma in adults; none have been studied or approved by the US Food and Drug Administration for treatment of children. Objective: Our purpose was to review a cohort of children with condyloma to determine the natural history. Methods: Of 75 originally identified subjects with condyloma, 41 qualified for further retrospective or prospective evaluation, including distribution of lesions, duration of disease, gender, and treatment, if any. Results: Overall, condylomas in 31 of 41 children (76%) experienced resolution. Spontaneous resolution occurred within 5 years in 22 of 41 subjects (54%), including 6 of 8 (75%) who never received treatment, and 16 of 33 (49%) in whom treatment failed. In 9 of 33 treated children (27%), resolution occurred during treatment. Girls presented three times more often than boys and resolution occurred comparatively more often in girls. Conclusion: Spontaneous resolution of pediatric condyloma occurred in more than half of our subjects. Nonintervention is a reasonable initial approach to managing venereal warts in children. (J Am Acad Dermatol 1998;39:951-5.)
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Reprint requests: Elaine C. Siegfried, MD, Department of Dermatology, Saint Louis University School of Medicine, 1402 S Grand Blvd, St Louis, MO 63104. |
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0190-9622/98/$5.00 + 0 16/1/93798 |
Vol 39 - N° 6
P. 951-955 - décembre 1998 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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