Human papillomavirus history and symptoms: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
m Bot: Removing from Primary care |
||
| (13 intermediate revisions by 3 users not shown) | |||
| Line 3: | Line 3: | ||
{{CMG}};{{AE}}{{MehdiP}} | {{CMG}};{{AE}}{{MehdiP}} | ||
==Overview== | ==Overview== | ||
Detailed history about sexual activities and partners must be taken from every patient with anogenital involvement. Symptoms are mostly related to skin irritation and mucosal surface involvement. | |||
==History== | ==History== | ||
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:<ref>{{cite book |last = Bennett |first = John |title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases |publisher = Elsevier/Saunders |location = Philadelphia, PA |year = 2015 |isbn=9781455748013}}</ref><ref name="pmid9459645">{{cite journal |vauthors=Ho GY, Bierman R, Beardsley L, Chang CJ, Burk RD |title=Natural history of cervicovaginal papillomavirus infection in young women |journal=N. Engl. J. Med. |volume=338 |issue=7 |pages=423–8 |year=1998 |pmid=9459645 |doi=10.1056/NEJM199802123380703 |url=}}</ref> | A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:<ref name=mandell>{{cite book |last = Bennett |first = John |title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases |publisher = Elsevier/Saunders |location = Philadelphia, PA |year = 2015 |isbn=9781455748013}}</ref><ref name="pmid9459645">{{cite journal |vauthors=Ho GY, Bierman R, Beardsley L, Chang CJ, Burk RD |title=Natural history of cervicovaginal papillomavirus infection in young women |journal=N. Engl. J. Med. |volume=338 |issue=7 |pages=423–8 |year=1998 |pmid=9459645 |doi=10.1056/NEJM199802123380703 |url=}}</ref> | ||
:1- Recent sexual activities | :1- Recent sexual activities | ||
:2- Number of sex partners or any new partner | :2- Number of sex partners or any new partner | ||
| Line 14: | Line 14: | ||
:7- Recent close contact with persons having cutaneous wart | :7- Recent close contact with persons having cutaneous wart | ||
==Symptoms== | ==Symptoms== | ||
===Cutaneous lesions=== | ===Cutaneous lesions=== | ||
The hallmark of cutaneous involvement is [[pruritus]], however, the majority of the people acquiring [[Human papillomavirus|HPV]] are asymptomatic. The clinical manifestation of [[Human papillomavirus|HPV]] infection is [[wart]] that sometimes might be painful.<ref name="pmid2850861">{{cite journal |vauthors=Jablonska S, Orth G, Obalek S, Croissant O |title=Cutaneous warts. Clinical, histologic, and virologic correlations |journal=Clin. Dermatol. |volume=3 |issue=4 |pages=71–82 |year=1985 |pmid=2850861 |doi= |url=}}</ref> | |||
===Anogenital lesions=== | |||
====Intraepithelial neoplasia ([[squamous cell carcinoma]])==== | |||
These lesions are mostly asymptomatic although, may cause postcoital [[Abnormal uterine bleeding|spotting]] or [[vaginal discharge]]. When it progress to [[squamous cell carcinoma]], the presenting symptoms would be abnormal [[vaginal bleeding]], pelvic pain and [[painful intercourse]].<ref name=mandell>{{cite book |last = Bennett |first = John |title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases |publisher = Elsevier/Saunders |location = Philadelphia, PA |year = 2015 |isbn=9781455748013}}</ref> | |||
====Condylomata acuminata==== | |||
They are often asymptomatic but may cause [[pruritus]], bleeding, burning, tenderness, vaginal discharge and pain. Large exophytic lesions may interfere with defecation, intercourse or even delivery.<ref name=mandell>{{cite book |last = Bennett |first = John |title = Mandell, Douglas, and Bennett's principles and practice of infectious diseases |publisher = Elsevier/Saunders |location = Philadelphia, PA |year = 2015 |isbn=9781455748013}}</ref> | |||
===Other mucosal involvement=== | |||
====Recurrent respiratory papillomatosis==== | |||
Present with [[hoarseness]] or in infants, with an altered cry. Sometimes, leads to [[respiratory distress]] and [[stridor]].<ref name="pmid22588043">{{cite journal |vauthors=Venkatesan NN, Pine HS, Underbrink MP |title=Recurrent respiratory papillomatosis |journal=Otolaryngol. Clin. North Am. |volume=45 |issue=3 |pages=671–94, viii–ix |year=2012 |pmid=22588043 |pmc=3682415 |doi=10.1016/j.otc.2012.03.006 |url=}}</ref> | |||
====Conjunctival papillomas==== | |||
Present with [[redness]], itching, foreign body sensation and tearing in the affected eye.<ref name="pmid25527693">{{cite journal |vauthors=Mlakar J, Kocjan BJ, Hošnjak L, Pižem J, Beltram M, Gale N, Drnovšek-Olup B, Poljak M |title=Morphological characteristics of conjunctival squamous papillomas in relation to human papillomavirus infection |journal=Br J Ophthalmol |volume=99 |issue=3 |pages=431–6 |year=2015 |pmid=25527693 |doi=10.1136/bjophthalmol-2014-306087 |url=}}</ref><ref name="pmid17166894">{{cite journal |vauthors=Sjö NC, von Buchwald C, Cassonnet P, Norrild B, Prause JU, Vinding T, Heegaard S |title=Human papillomavirus in normal conjunctival tissue and in conjunctival papilloma: types and frequencies in a large series |journal=Br J Ophthalmol |volume=91 |issue=8 |pages=1014–5 |year=2007 |pmid=17166894 |pmc=1954828 |doi=10.1136/bjo.2006.108811 |url=}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Emergency mdicine]] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category: | [[Category:Dermatology]] | ||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category: | [[Category:Urology]] | ||
Latest revision as of 22:13, 29 July 2020
|
Human papillomavirus Microchapters |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Human papillomavirus history and symptoms On the Web |
|
American Roentgen Ray Society Images of Human papillomavirus history and symptoms |
|
Risk calculators and risk factors for Human papillomavirus history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Detailed history about sexual activities and partners must be taken from every patient with anogenital involvement. Symptoms are mostly related to skin irritation and mucosal surface involvement.
History
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:[1][2]
- 1- Recent sexual activities
- 2- Number of sex partners or any new partner
- 3- Using condom
- 4- History of prior STDs
- 5- Sex practice
- 6- Number of pregnancies
- 7- Recent close contact with persons having cutaneous wart
Symptoms
Cutaneous lesions
The hallmark of cutaneous involvement is pruritus, however, the majority of the people acquiring HPV are asymptomatic. The clinical manifestation of HPV infection is wart that sometimes might be painful.[3]
Anogenital lesions
Intraepithelial neoplasia (squamous cell carcinoma)
These lesions are mostly asymptomatic although, may cause postcoital spotting or vaginal discharge. When it progress to squamous cell carcinoma, the presenting symptoms would be abnormal vaginal bleeding, pelvic pain and painful intercourse.[1]
Condylomata acuminata
They are often asymptomatic but may cause pruritus, bleeding, burning, tenderness, vaginal discharge and pain. Large exophytic lesions may interfere with defecation, intercourse or even delivery.[1]
Other mucosal involvement
Recurrent respiratory papillomatosis
Present with hoarseness or in infants, with an altered cry. Sometimes, leads to respiratory distress and stridor.[4]
Conjunctival papillomas
Present with redness, itching, foreign body sensation and tearing in the affected eye.[5][6]
References
- ↑ 1.0 1.1 1.2 Bennett, John (2015). Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia, PA: Elsevier/Saunders. ISBN 9781455748013.
- ↑ Ho GY, Bierman R, Beardsley L, Chang CJ, Burk RD (1998). "Natural history of cervicovaginal papillomavirus infection in young women". N. Engl. J. Med. 338 (7): 423–8. doi:10.1056/NEJM199802123380703. PMID 9459645.
- ↑ Jablonska S, Orth G, Obalek S, Croissant O (1985). "Cutaneous warts. Clinical, histologic, and virologic correlations". Clin. Dermatol. 3 (4): 71–82. PMID 2850861.
- ↑ Venkatesan NN, Pine HS, Underbrink MP (2012). "Recurrent respiratory papillomatosis". Otolaryngol. Clin. North Am. 45 (3): 671–94, viii–ix. doi:10.1016/j.otc.2012.03.006. PMC 3682415. PMID 22588043.
- ↑ Mlakar J, Kocjan BJ, Hošnjak L, Pižem J, Beltram M, Gale N, Drnovšek-Olup B, Poljak M (2015). "Morphological characteristics of conjunctival squamous papillomas in relation to human papillomavirus infection". Br J Ophthalmol. 99 (3): 431–6. doi:10.1136/bjophthalmol-2014-306087. PMID 25527693.
- ↑ Sjö NC, von Buchwald C, Cassonnet P, Norrild B, Prause JU, Vinding T, Heegaard S (2007). "Human papillomavirus in normal conjunctival tissue and in conjunctival papilloma: types and frequencies in a large series". Br J Ophthalmol. 91 (8): 1014–5. doi:10.1136/bjo.2006.108811. PMC 1954828. PMID 17166894.