Der sexuelle Missbrauch von Jungen in Deutschland (German Edition)
Key words: condylomata acuminata, genital warts, HPV infection, sexual abuse. Introduction Condylomata acuminata, also referred to as pointed condylomata or genital warts, are the most common types of benign tumour affecting the external anogenital region. Open in a separate window.
Non-sexual Transmission of Human Papilloma Viruses in Childhood Infection is predominantly by direct skin-to-skin contact. Paediatric Gynaecological Aspects of Sexual Abuse According to police criminal statistics, 11 cases of sexual abuse of children under the age of 14 were reported in Germany in Sexual Transmission of Human Papilloma Viruses in Childhood The investigation with the largest collective of children examined was published by Ingram et al.
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Statements by National and International Professional Associations These and other investigations carried out on smaller collectives 38 , 39 , 40 , 41 have led to the recommendations of various professional associations which are basically in agreement. Diagnostics and Differential Diagnoses With their typical appearance, condylomata are generally diagnosed by clinical examination. Anatomical variants papillomatosis. Treatment Options There is currently no antiviral treatment available which is specifically directed against HPV.
Podophyllotoxin cream 0. CO 2 laser vaporisation spot width 1—1. Future prospects After several decades of rapidly rising subclinical and clinical HPV infections, it is hoped that, following the introduction of the quadrivalent HPV-6,11,16,18 vaccine in October , there will be a reduction in the number of cases in the coming decades and that the recommendation still given by the Center for Disease Control CDC in 58 that only refraining from sexual contact can prevent HPV infection will lose its relevance. Summary for Practice Condylomata acuminata in children may be, but are not necessarily, an indicator of sexual abuse.
Footnotes Conflict of Interest The authors declare that they do not have any financial relationship with any company associated with the article. Supporting Information German version of this article K, pdf. References 1. Gross G. Differentialdiagnostik anogenitaler Condylomata acuminata. Geburtsh Frauenheilk. Veneral warts in children.
Pediatr Rev. Human papilloma virus HPV infection in children and adolescents. Eur J Pediatr. The management of condylomata acuminata in the pediatric population. Pediatr Ann. Weyandt G H. The quality of life of patients with genital warts: a quality study. BMC Public Health. Mortensen G L.
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Anogenital Warts in Childhood – Always a Marker for Sexual Abuse?
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