Human papillomavirus physical examination: Difference between revisions

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Digital palpation of the vagina to assess for thickening or irregularity of the vaginal wall and a thorough colposcopic assessment of the entire vagina must be perform, however physical examination of patients with early stage is usually unremarkable, but after the insertion of a speculum and the application of acetic acid, lesions will appear as raised or flat white, granular epithelium with sharply demarcated borders and may contain areas of vascular punctation.<ref name="pmid20178533">{{cite journal |vauthors=Boonlikit S, Noinual N |title=Vaginal intraepithelial neoplasia: a retrospective analysis of clinical features and colpohistology |journal=J. Obstet. Gynaecol. Res. |volume=36 |issue=1 |pages=94–100 |year=2010 |pmid=20178533 |doi=10.1111/j.1447-0756.2009.01108.x |url=}}</ref>
Digital palpation of the vagina to assess for thickening or irregularity of the vaginal wall and a thorough colposcopic assessment of the entire vagina must be perform, however physical examination of patients with early stage is usually unremarkable, but after the insertion of a speculum and the application of acetic acid, lesions will appear as raised or flat white, granular epithelium with sharply demarcated borders and may contain areas of vascular punctation.<ref name="pmid20178533">{{cite journal |vauthors=Boonlikit S, Noinual N |title=Vaginal intraepithelial neoplasia: a retrospective analysis of clinical features and colpohistology |journal=J. Obstet. Gynaecol. Res. |volume=36 |issue=1 |pages=94–100 |year=2010 |pmid=20178533 |doi=10.1111/j.1447-0756.2009.01108.x |url=}}</ref>
====Condylomata acuminata====
====Condylomata acuminata====
It ranges from smooth flattened papule to a verrucous, papilliform appearance
It ranges from smooth flattened papule to a verrucous, papilliform appearance. Large lesions may be seen during physical examination. Female and male genital area and anus may be affected.
<gallery>
Image:Condyloma acuminatum01.jpg|Condyloma acuminata. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Condyloma acuminatum02.jpg|Condyloma acuminata. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Condyloma acuminatum03.jpg|Condyloma acuminata. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Condyloma acuminatum11.jpg|Condyloma acuminata. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Condyloma acuminatum12.jpg|Condyloma acuminata. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Condyloma acuminatum36.jpg|Condyloma acuminata. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
Image:Condyloma acuminatum37.jpg|Condyloma acuminata. <SMALL><SMALL>''[http://www.atlasdermatologico.com.br/  Adapted from Dermatology Atlas.]''<ref name="Dermatology Atlas">{{Cite web | title = Dermatology Atlas | url = http://www.atlasdermatologico.com.br/}}</ref></SMALL></SMALL>
</gallery>
 
==References==
==References==


Revision as of 19:13, 13 October 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Physical examination

Cutaneous lesions

Warts

They are well demarcated, exophytic, hyperkeratotic papules or plaques with a rough surface that are usually located on the fingers or lateral surface of the hands that could be single or in groups.

Epidermodysplasia verruciformis

Characterized by the growth of scaly macules and papules, that may become hypertrophic and coalescent particularly on the hands and upper trunk in children.[2]

Anogenital lesions

Intraepithelial neoplasia

Digital palpation of the vagina to assess for thickening or irregularity of the vaginal wall and a thorough colposcopic assessment of the entire vagina must be perform, however physical examination of patients with early stage is usually unremarkable, but after the insertion of a speculum and the application of acetic acid, lesions will appear as raised or flat white, granular epithelium with sharply demarcated borders and may contain areas of vascular punctation.[3]

Condylomata acuminata

It ranges from smooth flattened papule to a verrucous, papilliform appearance. Large lesions may be seen during physical examination. Female and male genital area and anus may be affected.

References

  1. ↑ 1.00 1.01 1.02 1.03 1.04 1.05 1.06 1.07 1.08 1.09 1.10 1.11 1.12 1.13 1.14 "Dermatology Atlas".
  2. ↑ Lukjan H, Dabrowski S, Bielawiec M (1985). "[Evaluation of the correlation between impedance rheography data, function tests and basic laboratory studies in patients with arteriosclerosis obliterans of the lower extremities]". Kardiol Pol (in Polish). 28 (12): 776–83. PMID 3835378.
  3. ↑ Boonlikit S, Noinual N (2010). "Vaginal intraepithelial neoplasia: a retrospective analysis of clinical features and colpohistology". J. Obstet. Gynaecol. Res. 36 (1): 94–100. doi:10.1111/j.1447-0756.2009.01108.x. PMID 20178533.

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