Genital and oral human papillomavirus infection in a patient from the group of women who have sex with women
| Autor: | Philippe Godefroy Costa de Souza, José Alexandre Da Rocha Curvelo, Aline Garcia Forattini, Dennis de Carvalho Ferreira, Helena Lucia Barroso dos Reis, Mauro Romero Leal Passos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
Adult
Sexually transmitted disease medicine.medical_specialty Vulva Genital warts Lesion medicine Humans Sex organ Letter to the Editor Vulvar Diseases Colposcopy Gynecology lcsh:R5-920 medicine.diagnostic_test business.industry Homosexuality Female General Medicine medicine.disease medicine.anatomical_structure Condylomata Acuminata Hymen Female medicine.symptom Mouth Diseases business lcsh:Medicine (General) |
| Zdroj: | Clinics, Vol 65, Iss 12, Pp 1383-1385 (2010) Clinics Clinics; v. 65 n. 12 (2010); 1383-1385 Clinics; Vol. 65 Núm. 12 (2010); 1383-1385 Clinics; Vol. 65 No. 12 (2010); 1383-1385 Universidade de São Paulo (USP) instacron:USP Clinics, Volume: 65, Issue: 12, Pages: 1383-1385, Published: 2010 |
| ISSN: | 1980-5322 1807-5932 |
| Popis: | A 21-year-old self-declared lesbian patient of Africandescent was referred to a sexually transmitted disease (STD)center at the Federal Fluminense University (UFF) from aprivate clinic with a case of genital warts of 1 year’sduration. The patient, who denied tobacco use but admittedsocial alcohol use, had been in a stable homosexualrelationship for the previous 16 months, and routinelyperforms unprotected oral sex on her partner. She had beenpreviously treated with trichloroacetic acid (TCA) 90%throughout the year with no signs of improvement. Shepresented with multiple, large, and hardened genital warts(Fig. 1) and a single, small lesion on her lower lip (Fig. 2).The lower lip lesion was first noticed by the patientapproximately 30 days before her consultation. She hadbeen treated with TCA 90% applied to the genital area for 4weeks, without any noticeable clinical improvement; abiopsy was then carried out on both the genital area andthe lips. Twenty-one days after the procedure, the genitallesions disappeared completely. Laboratory examinationswere ordered (anti-HIV and Venereal Disease ResearchLaboratory), both of which tested negative; an examinationof the larynx was also normal. The patient’s partner wasalso tested. Her hymen was found to be intact and noalterations were found in the colposcopy examination.Both women denied past history of STDs and hetero-sexual intercourse; although they did declare previousrelationships with digital–vaginal and digital–anal prac-tices, as well as vulvar and oral-to-oral contact. Biopsyresults for lesions of the lips and vulva revealed condylo-mata acuminata (Figs 3 and 4). Polymerase chain reaction(PCR) tests for human papillomavirus (HPV) were per-formed on both lesions but the viral subtype was notdefined. Specific orientations were offered to these womenwho are now symptom-free, and follow-up was undertakenby the STD center. |
| Databáze: | OpenAIRE |
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