Pseudo condyloma acuminatum
Introduction
Introduction to pseudo-condyloma acuminata False genital warts, that is, pseudo-hypertension, should be cautious when diagnosed. The disease is a benign papilloma, not a sexually transmitted disease, non-infectious, see most 1-2mm smooth papules on the inside of the labia minora in women aged 20 to 30 years, clustered but not fused together, like a caviar or small polypoid Sometimes itchy, may be caused by increased leucorrhea due to physiological variation or vaginal Candida albicans. The incubation period is from 3 weeks to 8 months, with an average of 3 months. It is more common in sexually active young and middle-aged men and women. The peak age of men and women is 20-25 years old. The average male and female patients with a disease duration of 3-5 months are shortly after sexual contact. In male patients with an onset of disease and an average duration of 12 months, sexual contact may not occur. Most patients are generally asymptomatic. Damage varies in size and shape. It can be only a few, but it can also be a large needle-like damage. Pseudocondyloma acuminata has no effect on health, and the development of rash is self-limiting, so there is generally no need for treatment. Laser treatment can be used in batches if necessary. basic knowledge The proportion of illness: 0.0005% Susceptible people: women aged 20 to 30 Mode of transmission: sexual transmission Complications: swelling, malignant tumor, papilloma of the nipple
Cause
Cause of pseudocondyloma acuminata
Endocrine factors (45%):
The cause of pseudo-condyloma is still unknown, and it is generally considered to be a benign papilloma associated with dysplasia. Whether the occurrence of this disease is related to hormone levels in the body remains to be further studied.
Other factors (35%):
The cause of female pseudocondyloma acuminata (the villi labyrinth) may be physiologically abnormal, and may also be associated with other infections, such as Candida infection, urinary tract infection, and long-term vaginal discharge stimulation.
Prevention
False condyloma acuminata prevention
For friends with sexually transmitted diseases, it is necessary to pay attention to the abnormal changes of the genitals at any time, and at the same time, relevant examinations can be carried out in order to enable early detection, early diagnosis and early treatment.
Complication
Pseudocondyloma Complications swelling papillary tumor of malignant tumor
There are ulcers and bleeding phenomena; after the lesions increase and increase, local foreign bodies and discomfort can be caused. Because the site of the disease is mostly in the foreskin, urethra, labia, vagina, perianal, etc., these parts are susceptible to microbial infection, resulting in ulceration, suppuration, hemorrhage, pain and swelling of the lesion.
Symptom
False condyloma acumin symptoms Common symptoms Vulvar itching small labia and vestibule also ... leucorrhea increased skin itching
The incubation period is from 3 weeks to 8 months, with an average of 3 months. It is more common in sexually active young and middle-aged men and women. The peak age of men and women is 20-25 years old. The average male and female patients with a disease duration of 3-5 months are shortly after sexual contact. In male patients with an onset of disease and an average duration of 12 months, sexual contact may not occur. Most patients are generally asymptomatic. Damage varies in size and shape. It can be only a few, but it can also be a large needle-like damage.
1 color: pseudo-condyloma acuminata appearance of light red (mucosal color) in 67 cases, light brown in 13 cases.
2 size: pseudo-condyloma acuminata diameter 1 ~ 2mm.
3 rows: 66 cases of pseudo-condyloma acuminata, 7 cases of villi, 2 cases of polyp, 3 cases of papular, 1 case of moss, 1 case of filament.
4 parts: 46 cases of pseudocondyloma acuminata, 2 cases of vaginal vestibule, 2 cases of unilateral labia minora.
Examine
Pseudocondyloma
The cause of female pseudocondyloma acuminata (the villi labyrinth) may be physiologically abnormal, and may also be associated with other infections, such as Candida infection, urinary tract infection, and long-term vaginal discharge stimulation. The main symptoms of pseudocondyloma acuminata are genital itching, vaginal discharge, skin damage limited to the labia minora, miliary size, mucous membrane color or reddish small papules, smooth surface like caviar, cluster distribution, good for female vulva 20 to 30 years old Especially the labia minora and the vaginal vestibule. A pseudo-condyloma acuminata has a villous change. The acetic acid white test was negative and the toluidine blue test was negative. 42 cases of histopathology showed a large number of vacuolar cells in the mucosal epithelium, but the size, morphology, cell polarity and staining of the cells were normal, and the cytoplasmic vacuoles were round and regular, but no diagnostic vacuoles were visible. PCR was performed to detect 20 cases of human papillomavirus negative. This indicates that pseudocondyloma acuminata has nothing to do with human papilloma virus.
Diagnosis
Diagnosis and diagnosis of pseudocondyloma acuminatum
Diagnostic criteria
The clinical manifestations of this disease are very similar to atypical condyloma acuminata. The misdiagnosis rate of this group is 50%. The reasons for misdiagnosis are as follows:
Part 1 doctors have insufficient understanding of pseudo-condyloma acuminata. Therefore, the two diseases cannot be identified from a clinical perspective. At the time of initial diagnosis, he was diagnosed with genital warts and misdiagnosed.
2 thinking one-sided, patients with more than two sexual partners, as long as the genitals appear wet skin lesions, they are easily diagnosed as genital warts.
3 too dependent on histopathology, because some doctors do not know enough about the morphology of the lesions, so the genital rash is routinely done tissue biopsy, by the pathologist. Since most pathologists are not specialized in dermatology, they have insufficient grasp of the characteristics of pseudo-condyloma acuminata. In the reading, the cell vacuole-like changes are diagnosed as condyloma acuminata, plus clinicians, especially obstetrics and gynecology and urology. Doctors rely too much on pathological diagnosis, which leads to misdiagnosis.
4 satisfied with the initial diagnosis, no further examination, this group of cases according to skin damage, suspected diagnosis is wrong, after PCR and acetic acid white test to correct the diagnosis.
Differential diagnosis
Clinically, it can be applied to the affected area with gauze or cotton swab dipped in 5% acetic acid solution. After 2 to 5 minutes, if it is condyloma acuminata, it will become white, this is a positive reaction; pseudo-condyloma is a negative reaction. That is, no discoloration. If there is local inflammation, it can be a false positive reaction, and if necessary, a pathological examination can be performed. The cause of pseudo-condyloma is still unknown, and it is generally considered to be a benign papilloma associated with dysplasia. Whether the occurrence of this disease is related to hormone levels in the body remains to be further studied.
