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被忽视的性传播感染疾病的挑战:传染性软疣。

The challenges of a neglected STI: Molluscum contagiosum.

机构信息

Department of Dermatology, Trapani Hospital, Trapani, Italy.

出版信息

G Ital Dermatol Venereol. 2012 Oct;147(5):447-53.

Abstract

Molluscum Contagiosum (MC) virus, a DNA Poxvirus, is responsible for benign infection of the skin epidermal layer and mucous membranes named MC. The lesions are small papules with typical central depressions or umbilications, that contain a waxy, curd-like core. The condition is most common in children, but during the last 25 years has become more common in young adults and immuno-compromised adults, especially in HIV/AIDS. Although molluscum contagiosum infections are considered a nuisance rather than a serious heath problem, the rising incidence in young , sexually active adults, suggests a transmission during sexual activity and can be regarded as a marker for the presence of other STIs. Even though some Authors don't recommend any treatment for cutaneous, non genital molluscum contagiosum in healthy people, treatment of genital molluscum contagiosum lesions is recommended in order to reduce the risk of sexual transmission, prevent autoinoculation, and increase patients quality of life.

摘要

传染性软疣病毒(MC 病毒)是一种 DNA 痘病毒,可引起皮肤表皮层和黏膜的良性感染,称为 MC。皮损为特征性中央凹陷或脐凹的小丘疹,内含蜡样、乳酪状核心。该疾病在儿童中最为常见,但在过去 25 年中,在年轻成年人和免疫功能低下的成年人中更为常见,尤其是在 HIV/AIDS 患者中。尽管传染性软疣感染被认为是一种麻烦而非严重的健康问题,但在年轻、有性行为活跃的成年人中的发病率上升表明,在性行为过程中可能发生了传播,并且可以被视为其他性传播感染(STIs)存在的标志物。尽管一些作者不建议对健康人群的皮肤非生殖器传染性软疣进行任何治疗,但建议对生殖器传染性软疣病变进行治疗,以降低性传播的风险、预防自身接种,并提高患者的生活质量。

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