Human papillomavirus physical examination

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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.

Common wart. Adapted from Dermatology Atlas.^[1]
Common wart. Adapted from Dermatology Atlas.^[1]
Plantar wart. Adapted from Dermatology Atlas.^[1]

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]

Epidermodysplasia verruciformis. Adapted from Dermatology Atlas.^[1]
Epidermodysplasia verruciformis. Adapted from Dermatology Atlas.^[1]
Epidermodysplasia verruciformis. Adapted from Dermatology Atlas.^[1]
Epidermodysplasia verruciformis. Adapted from Dermatology Atlas.^[1]
Epidermodysplasia verruciformis. Adapted from Dermatology Atlas.^[1]

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]

References

↑ ^1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 ^1.7 "Dermatology Atlas".
↑ 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.
↑ 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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[Dermatology_Atlas-1] 1.0 ^1.1 ^1.2 ^1.3 ^1.4 ^1.5 ^1.6 ^1.7 "Dermatology Atlas".

[pmid3835378-2] 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.

[pmid20178533-3] 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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