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儿童和青少年中的人乳头瘤病毒感染——全面综述

HPV Infection in Children and Adolescents-A Comprehensive Review.

作者信息

Tomecka Paulina, Karwowska Anna, Kuźnicki Jacek, Skinderowicz Katarzyna, Wojno Aleksandra, Markut Kornelia, Typek Paulina, Ciesielska Urszula, Kulbacka Julita, Drąg-Zalesińska Małgorzata

机构信息

Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland.

Department of Human Morphology and Embryology, Division of Histology and Embryology, Faculty of Medicine, Wroclaw Medical University, T. Chalubińskiego 6a, 50-368 Wroclaw, Poland.

出版信息

J Clin Med. 2025 Apr 2;14(7):2425. doi: 10.3390/jcm14072425.

Abstract

Human Papillomavirus (HPV) is a predominant and clinically significant virus affecting individuals of all ages, including children and adolescents. Despite its well-documented role in adult health, particularly in cervical cancer, HPV's impact on younger populations still remains underexplored. This review investigates the epidemiology, clinical manifestations, transmission pathways, and historical context of HPV in children and adolescents. The study demonstrates a significant prevalence of HPV DNA within paediatric populations, with diverse clinical manifestations such as verruca vulgaris, anogenital warts, and Juvenile Recurrent Respiratory Papillomatosis, alongside substantiating vertical transmission from mother to infant. We also highlight ground-breaking research milestones, including improvements in genetic studies, the development of HPV vaccines, and ongoing investigations into infection dynamics, and long-term health outcomes. By synthesising existing knowledge, this review aims to enhance clinical decision-making, improve management strategies, and pave the way for future research in HPV-related paediatric diseases.

摘要

人乳头瘤病毒(HPV)是一种主要的且具有临床意义的病毒,影响着包括儿童和青少年在内的所有年龄段的个体。尽管HPV在成人健康尤其是宫颈癌方面的作用已有充分记录,但其对年轻人群体的影响仍未得到充分探索。本综述调查了儿童和青少年中HPV的流行病学、临床表现、传播途径及历史背景。研究表明,儿科人群中HPV DNA的患病率很高,伴有多种临床表现,如寻常疣、肛门生殖器疣和青少年复发性呼吸道乳头瘤病,同时证实了HPV可从母亲垂直传播给婴儿。我们还强调了具有开创性的研究里程碑,包括基因研究的进展、HPV疫苗的研发以及对感染动态和长期健康结果的持续调查。通过综合现有知识,本综述旨在加强临床决策、改进管理策略,并为未来HPV相关儿科疾病的研究铺平道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/680c/11989703/1c65e1ee2c88/jcm-14-02425-g001.jpg

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