28 Imiquimod upregulates immune surveillance through cytokine induction and release of interferons. Food and Drug Administration pregnancy category C) is approved for treatment of genital warts and is available as a 5% cream. More than 80% effective in preventing genital warts when given before exposure to HPV types 6 and 11 26 Under local anesthesia, excise at the dermal-epidermal junction obtain hemostasis with chemical cautery or light electrocautery 2Īpply one to three times weekly repeat as neededĬounsel parents that circumcision may partially decrease transmission rates of human immunodeficiency virus, HPV, and herpes simplex virusģ4% reduction in prevalence of high-risk HPV infection 25Īdminister three injections of HPV quadrivalent vaccine (Gardasil) at months 0, 2, and 6
Under local anesthesia, excise at the base of the lesion on a cut or cut and coagulate settingĪpply less than 0.5 mL to no more than 10 cm 2 of warts wash off after one to four hours repeat weekly for three to six weeks as needed Heterogeneous appearance, but may appear as a red, white, or pigmented irregular plaque on the vulvaĮxcision laser ablation topical therapy with imiquimod, fluorouracil, or other agents 15Īpply to affected areas every other night for three nights per week wash off after six to eight hours repeat until lesions clear or for up to 16 weeksĪpply twice daily to affected areas for three consecutive days per week, then discontinue therapy for four days repeat for up to four weeksĪpply to affected areas three times daily for up to 16 weeksĪpply liquid nitrogen or cryoprobe to affected lesions until a halo is visible 1 to 2 mm beyond the lesion allow to thaw and repeat for two or three cycles May appear warty, leukoplakic, or sclerotic No treatment necessary cryotherapy and/or curettage for cosmetic treatment Well-demarcated, rough, brown verrucous papulesĬomedo-like openings and milia-like cysts on dermoscopy
Pearly, flesh-colored to brown papules with central umbilicationĮxamination is usually diagnostic a short pulse of sprayed liquid nitrogen may reveal central umbilicationĬryotherapy, curettage, or imiquimod (Aldara) 14ġ-mm white papules arranged circumferentially around the corona or sulcus of the glans penis History of pruritus examination may reveal lacy white Wickham striae Smooth, purple, polygonal papules and plaques
Smooth, 1- to 2-mm, flesh-colored papules on the scrotum or labia Surgical removal of cyst wall if symptomatic otherwise, no treatment necessary 10 Smooth compressible papule or nodule, often with a central punctumĮxamination for a dilated central punctum Intramuscular penicillin (first-line therapy) 9 Warty white to gray plaque in moist mucous membranes may secrete fluidĮxamination for spirochetes serology, including Venereal Disease Research Laboratory and rapid plasma reagin testing
0 kommentar(er)
