Photogallery. Anogenital (venereal) warts

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Abstract

Anogenital warts are caused by the human papillomavirus (most commonly types 6 and 11, giant condylomas ― types 16 and 18) and are exophytic and endophytic growths on the skin and mucous membranes of the genital and perianal areas. There is no generally accepted classification, but based on clinical manifestations, there are: acute condylomas, papular, patchy, hyperkeratotic, and giant condyloma acuminatum (Buschke–Lowenstein tumor). Anogenital warts can be the result of infection through sexual contact, which is indicated by the synonym “venereal warts”. Anogenital warts is a separate nosology (International Classification of Diseases of the Tenth Revision: A63.0), but can also be part of the symptom complex of immunodeficiency conditions (in particular acquired immunodeficiency syndrome) and neoplasias (squamous cell carcinoma and erythroplasia of Queyrat).

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About the authors

Valery V. Dubensky

Tver State Medical University

Email: valerydubensky@yandex.ru
ORCID iD: 0000-0003-2674-1096
SPIN-code: 3577-7335
Russian Federation, Tver

Vladislav V. Dubensky

Tver State Medical University

Author for correspondence.
Email: dubensky.vladislav@yandex.ru
ORCID iD: 0000-0002-5583-928X
SPIN-code: 6044-8507
Russian Federation, Tver

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1. Fig. 1. Patient C., 24 years old. Diagnosis: “Anogenital warts of the glans and inner foreskin”. There are exophytic growths in the form of acute (a) and papular condylomas (b) of pink color, with clear boundaries; separate formations on the pedicle, prone to growth, are located on the background of unchanged skin.

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2. Fig. 2. Patient V., 32 years old. Diagnosis: “Anogenital warts of the inner foreskin and frenulum of the penis”. The growths were in the form of flat papules with a wide base, resembling “cauliflower”. They have clear borders, occur against the background of unchanged skin.

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3. Fig. 3. Patient A., 21 years old. Diagnosis: “Anogenital warts of the external genitalia”. Exophytic outgrowths in the form of papular and acute condylomas, located in the area of large and small labia, have clear borders and papilla-shaped surface.

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4. Fig. 4. Patient K., 24 years old. Diagnosis: “Anogenital warts of the cervix”. Papular condylomas on the cervix with spreading to the cervical canal, whitish color (color changed after diagnostic test with 3% acetic acid solution).

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5. Fig. 5. The same patient. Anogenital warts in the vaginal fornix. Pink acute condylomas with clear borders on the background of visibly unchanged mucosa.

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6. Fig. 6. Patient E., 28 years old. Diagnosis: “Anogenital warts of the urethral labia”. Red acute condylomas, located against the background of the unchanged mucosa of the external orifice of the urethra.

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7. Fig. 7. Patient T., 24 years old. Diagnosis: “Anogenital warts of the external opening of the urethra”. Exophytic growths of acute condylomas in the region of the urethral labia (a); associated venous aneurysm of the penile head (b).

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8. Fig. 8. Patient M., 23 years old. Diagnosis: “Anogenital warts (Buschke–Lowenstein tumor) of the pubic and penile skin”. Exophytic tumor-like outgrowths of pink-red and brownish color, with separate papillae.

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9. Fig. 9. Patient J., 27 years old. Diagnosis: “Anogenital warts of the urethral labia”. Concomitant diagnosis: “Erythroplasia of Queyrat”. There are red acute condylomas with clear borders in the area of the urethral labia (a) they lie against the background of unchanged skin and erythematous-papular areas of erythroplasia (b).

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10. Fig. 10. Patient T., 36 years old. Diagnosis: “Anogenital warts (hyperkeratotic and Buschke–Lowenstein tumors) of the external genitalia, perianal area and inguinal folds”. Concomitant diagnosis: “Squamous cell carcinoma in the area of the labia majora and the lower commissure”. There were isolated brownish hyperkeratotic lesions on the skin of the inguinal folds and labia majora (a). There are Buschke–Lowenstein tumors on the labia majora and perianal region (b), reddish-brown, with lobular separation on the surface. There is a painful red-black dense infiltrate, up to 4 cm in diameter, in the area of the lower adhesion (c). The inguinal lymph nodes are enlarged on both sides, up to the size of a “bean”, painful on palpation.

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11. Fig. 11. Patient R., 2 years old. Diagnosis: “Anogenital perianal warts”. The acute condylomas are symmetrically located on the “kissing” surfaces, macerated, pink-red in color.

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