HPV

A 51-year-old woman is seen because of burning at the site of entry of a urethral (Foley) catheter. The catheter had been placed perioperatively for a cholecystectomy. No history of genitourinary difficulty or trauma to the area. A urine culture that revealed Escherichia coli led to a diagnosis of urinary tract infection (UTI), but the relationship between this infection and the physical finding was unclear.

ATLANTA ? A vaccine against cervical cancer should be added to the list of recommended routine shots for girls ages 11 and 12, a federal public health panel has urged.

SEATTLE - Among newly sexually active women, consistent condom use by their partners reduced the risk of human papilloma virus (HPV) infection, researchers reported.

ROCKVILLE, Md. - The FDA today approved Gardasil (quadrivalent human papillomavirus [Types 6, 11, 16, 18] recombinant vaccine) for prevention of cervical cancer and for prevention of cervical, vulvar and vaginal pre-cancers caused by HPV types 16 and 18.

ATLANTA ? Gardasil (quadrivalent human papillomavirus [Types 6, 11, 16, 18]), the vaccine that is pending FDA approval for cervical cancer, is also 100% effective against HPV-related vaginal and vulvar lesions, researchers reported here.

Photo Quiz: Wart or Mimic? Part 2

Nongenital cutaneous warts--that is, common, plantar, filiform, and flat warts--are manifestations of the human papillomavirus (HPV). These warts are among the most common dermatologic complaints seen in primary care practices and are among the most common lesions treated by dermatologists.

During a routine examination, an asymptomatic wartlike lesion is noted near the axilla of a 35-year-old woman. The patient says that it has been present since childhood.

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

An enlarging mass was noted on the dorsum of the right fifth toe of a 2-month-old boy during a well-child examination. The firm, immobile mass measured approximately 1 cm in diameter. A congenital abnormality was suspected; the patient was referred to a plastic surgeon for consultation.

A 38-year-old man presented with a fleshy lesion beneath the tip of his penis. He had discovered it about 18 months before the initial evaluation. A second similar lesion resembling a “cauliflower” had appeared several weeks after the first. Both lesions had grown and had begun to bleed during intercourse.

A 67-year-old woman presented with a painful genital ulcer. She denied new sex partners and previous genital lesions.

A 23-year-old man complained of unsightly “flat warts” all over his chest. These lesions first appeared in early adolescence. The clinical suspicion of epidermodysplasia verruciformis was confirmed by a biopsy.

Shortly after arriving from Puerto Rico, a 59-year-old man presented with right-sided frontal head pain and decreased vision in his right eye. He was concerned about a “sore” that first developed 9 months earlier on his head. The patient denied fever, chills, and syncope.

A 57-year-old man who had recently arrived in the United States from El Salvador presented with a nodular growth in his left naris. He reported that the lesion, which had been slowly progressing for several months, now completely blocked his left nostril. His only symptom was impaired inhalation.

Anorectal abscesses and fistulae, pilonidal disease, rectal prolapse, pruritus ani, and anal masses are discussed, with an emphasis on diagnosis and treatment of these conditions in the primary care office setting.

A 67-year-old woman presented with a painful genital ulcer. She denied new sex partners and previous genital lesions.

A 40-year-old womanwith HIV infection has had an occasionallypruritic facial rash for severalmonths. The rash is not associatedwith any systemic symptoms.

A 38-year-old man presented with a fleshy lesion beneath the tip of his penis. He had discovered it about 18 months before the initial evaluation. A second similar lesion resembling a “cauliflower” had appeared several weeks after the first. Both lesions had grown and had begun to bleed during intercourse.

As a result of regular screening with the Papanicolaou (Pap) test, deaths from cervical cancer among American women have decreased by more than 70% during the last 50 years.

Smoking-related diseases have reached epidemic levelsamong women in the United States. Since 1980, neoplastic,cardiovascular, respiratory, and pediatric diseases attributableto smoking-as well as cigarette burns-havebeen responsible for the premature deaths of 3 millionAmerican women and girls. Lung cancer is now the leadingcause of cancer-related deaths among US women; itsurpassed breast cancer in 1987.1

Even though highly active antiretroviral therapies and effective chemoprophylaxis are available, the exposure of HIV-infected patients to opportunistic pathogens remains a concern.

Recently the CDC updated its guidelines for treating sexually transmitted diseases (STDs). This article focuses on genital herpes simplex virus (HSV) infection and human papillomavirus (HPV) infection.

Seen here are asymptomatic papillary growths on the gingiva of a 31-year-old homosexual man who is seropositive for HIV. The diagnosis of human papillomavirus (HPV) lesions can be based on appearance and history. Condylomas may also appear flat and smooth or nodular, resembling fibromas. Because cross infection is common, patients who have these lesions-and their partners-are at increased risk for contracting anal and genital condylomas.