Vol 78, No 11 (2007)
ARTICLES
Genital warts associated with HPV infection during II and III trimester of pregnancy – a case report and analysis of treatment options
Wioletta Rozmus-Warcholińska, Tomasz Loch, Bartosz Czuba, Urszula Mazurek, Jan Mucha, Dariusz Dworak, Krzysztof Sodowski
Vol 78, No 11 (2007)
ARTICLES
Abstract
More than 30 HPV types can infect the genital tract. Viral infection can be present in clinical, subclinical or latent form. A visible genital form of HPV infection are genital warts, which are commonly caused by HPV types 6 and 11, and appear on the vulva, cervix, vagina, urethra and anus. Oncogenic HPV types 16,18,31,33 and 35 are also found in genital warts and are associated with vulval (VIN), cervical (CIN) and anal (AIN) intraepithelial neoplasia. The general prevalence of HPV infection in the form of visible genital warts estimates to about 1% of sexually active adults. Approximately 15% of the infected group / of all adults have a subclinical or latent infection and at least 80% had been infected with one or more genital HPV types at some point in their lives. The highest rate of frequency of infections occurs in the group of adults, aged from 18 to 28. Over the last twenty years figures have shown a constant growth of the infection rate, which also includes pregnant women. Genital warts can proliferate during pregnancy due to altered immunity and increased blood supply. Cryotherapy, electrocautery, laser therapy, surgery or trichloroacetic acid may be used to remove the warts. In the paper a case report on genital warts associated with HPV infection during II and III trimester of pregnancy and analysis of treatment options has been presented.
Abstract
More than 30 HPV types can infect the genital tract. Viral infection can be present in clinical, subclinical or latent form. A visible genital form of HPV infection are genital warts, which are commonly caused by HPV types 6 and 11, and appear on the vulva, cervix, vagina, urethra and anus. Oncogenic HPV types 16,18,31,33 and 35 are also found in genital warts and are associated with vulval (VIN), cervical (CIN) and anal (AIN) intraepithelial neoplasia. The general prevalence of HPV infection in the form of visible genital warts estimates to about 1% of sexually active adults. Approximately 15% of the infected group / of all adults have a subclinical or latent infection and at least 80% had been infected with one or more genital HPV types at some point in their lives. The highest rate of frequency of infections occurs in the group of adults, aged from 18 to 28. Over the last twenty years figures have shown a constant growth of the infection rate, which also includes pregnant women. Genital warts can proliferate during pregnancy due to altered immunity and increased blood supply. Cryotherapy, electrocautery, laser therapy, surgery or trichloroacetic acid may be used to remove the warts. In the paper a case report on genital warts associated with HPV infection during II and III trimester of pregnancy and analysis of treatment options has been presented.
Keywords
PCR, genital warts, pregnancy
Title
Genital warts associated with HPV infection during II and III trimester of pregnancy – a case report and analysis of treatment options
Journal
Ginekologia Polska
Issue
Vol 78, No 11 (2007)
Page views
896
Article views/downloads
771
Bibliographic record
Ginekol Pol 2007;78(11).
Keywords
PCR
genital warts
pregnancy
Authors
Wioletta Rozmus-Warcholińska
Tomasz Loch
Bartosz Czuba
Urszula Mazurek
Jan Mucha
Dariusz Dworak
Krzysztof Sodowski
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