关键词: Case report Florid vulvar warts Human papilloma virus Immunocompetent Surgical excision

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Abstract:
UNASSIGNED: Condyloma acuminata is an extremely common cutaneous sexually transmitted disease often diagnosed clinically, on the basis of its warty, cauliflower, and verrucous appearance. It is caused by the \"low risk\" Human papillomavirus types 6 and 11 in 90 percent of cases. The immune system plays a critical role in determining the course of viral infection, with immune-suppression and advanced age increasing the risk for long term wart persistence. Treatment options include the use of a wide variety of topical medications as well as surgical excision by cauterisation.
UNASSIGNED: A rare case of florid vulvar warts in a 21-year old nulliparous immuno-competent woman is presented and the literature reviewed. She had a 7-month history of progressive vulva swelling with associated itching, contact bleeding, and malodorous discharge. It measured about 14 × 10 cm in dimensions, occupying the posterior two-thirds of the labia majora and minora and obliterating the posterior commissure.
UNASSIGNED: There was no positive response to Podophyllin application, however, it was eventually excised and histologic analysis excluded malignancy.
UNASSIGNED: Florid vulvar warts though rare in immune-competent patients, could occur. Patients with persistent and recurrent infection often require surgical procedures as was performed in our patient with the possibility of speedy recovery and restoration of normal anatomy and cosmesis.
摘要:
尖锐湿疣是一种极其常见的皮肤性传播疾病,常被临床诊断,基于它的疣,花椰菜,和疣状的外观。在90%的病例中,它是由“低风险”人乳头瘤病毒6型和11型引起的。免疫系统在决定病毒感染的过程中起着至关重要的作用,免疫抑制和高龄增加长期疣持续的风险。治疗选择包括使用多种局部药物以及通过烧灼进行手术切除。
介绍了一名21岁的未产免疫能力妇女的罕见外阴疣病例,并进行了文献综述。她有7个月的进行性外阴肿胀伴瘙痒史,接触出血,和恶臭放电。它的尺寸约为14×10厘米,占据大阴唇和小阴唇的后三分之二,并消除了后连合。
对苦参素的应用没有积极的反应,然而,最终将其切除,组织学分析排除了恶性肿瘤.
植物外阴疣虽然在有免疫力的患者中很少见,可能发生。持续性和复发性感染的患者通常需要像我们的患者那样进行外科手术,有可能迅速恢复并恢复正常的解剖结构和外观。
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