METHODS: A case study of extra-genital condylomata is presented. To contextualise the case, a literature review of extra-genital condylomata lata was subsequently undertaken. The authors searched MEDLINE/PubMed, Scopus and Excerpta Medica/EMBASE English-language sources using the following keywords: \"condyloma lata\", \"condylomata lata\", and \"condyloma latum\".
RESULTS: Thirty-five papers (from 1940 to 2021) describing an extra-anogenital localization of condyloma lata were found and are summarized in Table 1. Patients were mainly males (82.1%), with a mean age of 31.9 years. Most of them showed other manifestations of secondary syphilis (53.9%). In a minority of cases (39.0%), concomitant anogenital condyloma lata were present, thus making the diagnosis easier. The toe web localization was the most documented (26.2%) followed by the oral cavity (23.8%).
CONCLUSIONS: In the presence of extra-genital condyloma lata, the differential diagnosis is not always clear, especially when no other muco-cutaneous lesions are observed. In the case of eroded or wet lesions involving any cutaneous fold, associated or not with other cutaneous manifestations, a sexual history should be obtained, and syphilis must be considered.
方法:以生殖器外尖锐湿疣为例进行研究。为了说明案件的背景,随后对生殖器外尖锐湿疣进行了文献综述.作者搜索了MEDLINE/PubMed,Scopus和ExcerptaMedica/EMBASE使用以下关键字的英语来源:\"尖锐湿疣\",“尖锐湿疣”,和“尖锐湿疣”。
结果:发现了35篇论文(从1940年到2021年),这些论文描述了尖锐湿疣的生殖器外定位,并总结在表1中。患者主要为男性(82.1%),平均年龄31.9岁.其中大多数表现为继发性梅毒的其他表现(53.9%)。在少数情况下(39.0%),同时存在肛门生殖器尖锐湿疣,从而使诊断更容易。脚趾网定位是记录最多的(26.2%),其次是口腔(23.8%)。
结论:在存在外生殖器湿疣的情况下,鉴别诊断并不总是很清楚,特别是当没有观察到其他粘膜皮肤病变时。在涉及任何皮肤褶皱的侵蚀或湿润病变的情况下,与其他皮肤表现有关或无关,应该获得性史,梅毒必须考虑。