Condyloma acuminatum in children

Introduction

Introduction to children's genital warts Most of the transmission routes of genital warts in children are mainly non-sexual contact infections. Especially in infants and young children, it is almost impossible to have sexual contact infections. This is the main difference between adults and adults. Children with genital warts are mainly indirectly transmitted, and some are manifestations of child sexual abuse. The clinical manifestations of genital warts in children are not much different from the clinical manifestations of genital warts in adults. Parents should pay more attention. basic knowledge Sickness ratio: 0.0001% Susceptible people: children Mode of transmission: contact propagation vertical transmission Complications: gingivitis bacterial skin disease

Cause

Causes of genital warts in children

Contact infection (20%):

That is, children are infected in daily life with close contact with patients with genital warts or HPV infected persons such as their parents, other members of the family, or nannies, early childhood teachers, and the like. These contacts may be genital warts, diseased secretions, and clothing, towels, etc. contaminated with HPV.

Allogeneic and/or autologous infection (20%):

That is, by hand contact with genital infection, such as when the hand of a patient with condyloma acuminata is exposed to condyloma acuminata damage or HPV-contaminated articles and then contact with normal children's skin and mucous membranes, causing allogeneic vaccination, or children with condyloma acuminata contact with the corpus callosum The hand then contacts the autologous normal skin mucosa and causes autologous infection.

Intrauterine infection (20%):

The fetus is infected by swallowing amniotic fluid containing HPV. Infants are infected when they have a condyloma acuminata or HPV-infected birth canal. During pregnancy, HPV infection is transmitted to the fetus through the placenta.

Sexual transmission route:

Most scholars believe that although children have no sexual behavior, they may also be infected with HPV through sexual violence and/or sexual abuse, followed by genital warts. There are also a few scholars who believe that genital warts in children with genital warts, especially older children, are caused by sexual disturbances. Raimer et al. estimate that about 40%-80% of children with genital warts are caused by sexual abuse.

Prevention

Children's genital warts prevention

1. Avoid contact infection: do not use other people's underwear, swimwear and bath tub; do not wash basins in public baths, advocate showers, do not sit directly in the bath seat after bathing; use squat toilets in public toilets; Wash your hands with soap before the toilet; do not swim in a pool with high density and poor disinfection.

2, pay attention to personal hygiene: daily cleansing vulva, changing underwear, personal underwear cleaning alone. Even family members should be able to make one person and one basin, and the towels should be used.

The above is the measure to prevent genital warts, and attention should be paid to these details in daily life. In addition, if there are symptoms of condyloma acuminata, it is necessary to go to the hospital for testing in time, timely treatment, and generally through scientific treatment, patients can be cured.

Complication

Condyloma acuminata complications in children Complications gingivitis bacterial skin disease

Most of the lesions that are infected with HPV are benign and can resolve on their own, but there are also cases of deterioration.

Symptom

Symptoms of genital warts in children Common symptoms Anal itching vulvar squamous epithelial hyperplasia major labia majora or anus large... like proliferative itchy nodular nodules

Examine

Examination of genital warts in children

Children with genital warts should be examined for sexually transmitted diseases, especially for sexually transmitted diseases such as syphilis, gonorrhea, non-gonococcal genital tract inflammation, genital herpes, soft chancre, AIDS, etc. If any related diseases are found, they should be treated.

Main inspection items:

1, acetic acid white test

The carcass is externally coated with 3-5% acetic acid for 2-5 minutes, and the lesion becomes white and slightly elevated, and the anal lesion may take 15 minutes.

2, HPV inspection

To date, HPV has been difficult to detect using traditional viral culture and serological techniques. The main experimental diagnostic technique is nucleic acid hybridization. The PCR method developed in recent years has the advantages of being specific, sensitive, simple and rapid, and opens up a new way for HPV detection.

Diagnosis

Diagnostic identification of children with genital warts

Syphilis is a chronic, systemic sexually transmitted disease caused by pale (syphilis) spirochetes. It is mainly transmitted through sexual channels.

Gonorrhea is a sexually transmitted disease characterized by urogenital system purulent infection caused by Neisseria gonorrhoeae (referred to as Neisseria gonorrhoeae). Its incidence rate ranks second in China's sexually transmitted diseases. Neisseria gonorrhoeae is Gram-negative dicocci, which is difficult to survive without leaving the body. Generally, disinfectants are easy to kill. Gonorrhea occurs mostly in young women and men who are sexually active.

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