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Human Papilloma Virus HPV. CAPT Mike Hughey, MC, USNR. Clinical Warts. Cauliflower-like lesions White or flesh-colored May cause itching/burning May have no symptoms. Sub-clinical Warts. Flat Virtually invisible May cause itching/burning May have no symptoms

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human papilloma virus hpv

Human Papilloma VirusHPV

CAPT Mike Hughey, MC, USNR

clinical warts
Clinical Warts
  • Cauliflower-like lesions
  • White or flesh-colored
  • May cause itching/burning
  • May have no symptoms
sub clinical warts
Sub-clinical Warts
  • Flat
  • Virtually invisible
  • May cause itching/burning
  • May have no symptoms
  • Identify with vinegar and4-10X magnification
transmission
Transmission
  • Skin to skin contact
  • Condoms offer little protection
  • Don't treat partners unless symptomatic
relationship to cancer
Relationship to Cancer
  • Appears to be a pre-requisite to cervical cancer
  • Vast majority of those with HPV do not develop cancer
  • Smoking, immune response are co-factors
treatment of warts
Treatment of Warts
  • All treatment involves destroying the patients skinwhich has grown in a strange and annoying way.
  • You are not eliminating the virus, nor eliminating any chance of re-occurrence.
  • Don’t overtreat.
treatment with cryosurgery
Treatment with Cryosurgery
  • Liquid nitrogen
  • Nitrous oxide/CO2 gun
  • Use only on wart
  • DON’T USE INSIDE THE VAGINA
  • Multiple treatments
treatment with podophyllin
Treatment with Podophyllin
  • Wash off in 4-6 hours
  • Hepatotoxic, nephrotoxic
  • Small amounts
  • Don't use inside vagina
  • MULTIPLE TREATMENTS
other treatments
Other Treatments
  • Bichloracetic Acid (BCA or TCA)
  • Cut them out
  • Burn them off
  • Electrocute them
  • Nothing (50% resolve in 1 year)