Genital Warts

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ICD10 CODE: A63.0

Superficial mucocutaneous infection

Causes

• Human papilloma virus (HPV): causes viral warts (condylomata acuminata)
• Treponema pallidum: causes syphilitic warts (condylomata lata)
• Molluscum contagiosum virus

Clinical features

• Penis, foreskin, labia and vagina are the most common sites of the warts
• Warts can be variable in number and size, either few or multiple, small to very large
• HPV warts: soft fleshy growth on genitals
• Syphilitic warts: flat-topped and broad based growth
• Molluscum contagiosum: light coloured, umbilicated growths on the face and genital areas

Differential diagnosis

• Rashes
• Eruptive skin lesions

Management

TREATMENT	LOC
Advise on personal hygiene Treat underlying infection HPV viral warts Apply podophyllum resin paint 15% to the warts 1–3 times weekly until warts have resolved; may require multiple weekly treatments Protect normal skin with petroleum jelly before application Apply precisely on the lesion avoiding normal skin Wash off with water 4 hours after each application Do not use in pregnancy If no improvement after 3 applications Refer for specialist management	HC4
Syphilitic Warts Give: benzathine penicillin injection 2.4 MU single dose (half into each buttock) Molluscum contagiosum Usually self limiting Treat underlying conditions that may be compromising the person’s immunity	HC3