Social consequences such as teasing at school or exclusion from sport.Discomfort, especially from plantar warts on pressure sites.What are the complications of non-sexually acquired human papillomavirus infection? Immunosuppressed patients with HIV infection or are post-transplant may very rarely present with multiple HPV lesions resembling epidermodysplasia verruciformis. It results in the early onset of disseminated flat polymorphic lesions resembling pityriasis versicolor or plane warts.Įpidermodysplasia verruciformis carries an increased risk of HPV-related cutaneous squamous cell carcinoma (SCC). They are typically seen on the face.Įpidermodysplasia verruciformis is a rare autosomal recessive disorder with an increased susceptibility to specific HPV types, most commonly types 5 and 8. Filiform warts have a narrow base and fine elevated keratotic fronds.Warts under the free edge of a nail probably result from picking or scratching a wart elsewhere. Subungual and periungual warts can affect the nail plate.Flat warts (verruca plana) are small Mosaic warts are a field of warts, especially seen on the soles of sweaty feet.Plantar warts can occur anywhere on the sole corns occur only at pressure sites. Plantar warts are especially tender with lateral pressure rather than with direct pressure typical of corns. Capillaries are not seen on paring corns. On paring down, multiple pinpoint bleeding spots of patent papillary capillaries or black dots of thrombosed capillaries are encountered. A plantar wart presents as a thickening with loss of surface skin lines (dermatoglyphics) in contrast to accentuated dermatoglyphics through a corn. Plantar warts (verruca plantaris) affect the soles of the feet.The majority of common warts are asymptomatic, but are easily traumatised causing pain. They are dome-shaped, circumscribed, hyperkeratotic and verrucous papules and nodules. Common viral warts (verruca vulgaris) affect keratinised skin, especially hands, feet, and knees.Vertical transmission from mother to baby during vaginal delivery.Inoculation from the hand of a caregiver during a nappy change.Autoinoculation from a viral wart elsewhere on the body, typically from a child's hand.Non-sexually acquired HPV with the HPV types above can occasionally affect the skin of the anogenital region. What causes a non-sexually acquired human papillomavirus infection?Ĭutaneous infection is mostly associated with HPV types 1, 2, 3, 4, 7, and 10, which cause common, flat, and plantar warts. Immunosuppression, such as acquired immunodeficiency virus ( HIV) infection with acquired immune deficiency syndrome (AIDS), and organ transplant recipients on long-term immunosuppressive drugs.Workers who handle meat, poultry, and fish - the so-called ‘butcher warts’ due to HPV 7.Įxtensive and persistent HPV infection is seen in association with:. Non-sexually acquired human papillomavirus infection is common in: Who gets non-sexually acquired human papillomavirus infections? Transmission of non-sexually acquired HPV occurs when infected skin or skin squames are in direct contact with broken or macerated skin. HPV infections can be sexually transmitted or non-sexually acquired this review focuses on the latter. Each type is associated with infection at a particular anatomic site and clinical morphology. Human papillomavirus (HPV) is a small double-stranded DNA virus which has been classified into over 200 types based on genome sequencing. What is a non-sexually acquired human papillomavirus infection?
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