Which clinical history findings are characteristic of condyloma acuminatum?

Updated: Oct 22, 2018
  • Author: Delaram Ghadishah, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

Smoking, oral contraceptives, multiple sexual partners, and early coital age are risk factors for acquiring condyloma acuminatum.

Generally, two thirds of individuals who have sexual contact with a partner with condyloma acuminatum develop lesions within 3 months.

The chief complaint usually is one of painless bumps, pruritus, or discharge. Involvement of more than 1 area is common. History of multiple lesions, rather than 1 isolated wart, is common.

Oral, laryngeal, or tracheal mucosal lesions (rare) presumably are transferred by oral-genital contact.

History of anal intercourse in both males and females warrants a thorough search for perianal lesions.

Rarely, urethral bleeding or urinary obstruction may be the presenting complaint when the wart involves the meatus.

The patient's history may indicate presence of previous or other current STDs.

Coital bleeding may occur. Vaginal bleeding during pregnancy may be due to condyloma eruptions.

Latent illness may become active, particularly with pregnancy and immunosuppression.

Lesions may regress spontaneously, remain the same, or progress.

Pruritus may be present.

Discharge may be a complaint.


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