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儿童尖锐湿疣的传播途径与治疗方式:一例病例报告

Transmission and therapeutic modalities on condyloma acuminata in children: a case report.

作者信息

Pilar Nissa Avina, Mappamasing Hasnikmah, Agusni Regitta Indira, Widyantari Septiana, Sari Maylita, Astindari Astindari, Hidayati Afif Nurul

机构信息

Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.

出版信息

Pan Afr Med J. 2025 Apr 11;50:101. doi: 10.11604/pamj.2025.50.101.45681. eCollection 2025.

Abstract

This case report presents a unique instance of condyloma acuminata in a one-year-old child, which adds to the scientific literature by highlighting the potential for non-sexual transmission in pediatric patients. The child exhibited a rapidly enlarging, skin-colored lump around the anus, initially a small bump that soon resembled a cauliflower. Acetowhite testing was positive, and histopathological examination revealed hyperkeratosis, acanthosis, and papillomatosis, leading to the diagnosis of condyloma acuminata. The main therapeutic intervention involved the application of 90% trichloroacetic acid (TCA), resulting in complete lesion resolution after two treatments, with no recurrence observed over a six-month follow-up period. This case emphasizes the urgent need for special attention to sexually transmitted infections (STIs) in children, considering the potential link to sexual violence. It highlights the critical, holistic role of venereology specialists, not only in providing effective and safe curative treatments but also in actively preventing further transmission and supporting vulnerable patients like children.

摘要

本病例报告呈现了一名一岁儿童患尖锐湿疣的独特案例,通过强调儿科患者非性传播的可能性,为科学文献增添了内容。该儿童肛门周围出现一个迅速增大的肤色肿块,最初是一个小凸起,很快就类似菜花状。醋酸白试验呈阳性,组织病理学检查显示有角化过度、棘层肥厚和乳头瘤样增生,从而诊断为尖锐湿疣。主要治疗干预措施是应用90%的三氯乙酸(TCA),经过两次治疗后病变完全消退,在六个月的随访期内未观察到复发。该病例强调,鉴于与性暴力的潜在联系,迫切需要特别关注儿童性传播感染(STIs)。它凸显了性病专家至关重要的全面作用,不仅要提供有效且安全的治疗方法,还要积极预防进一步传播,并为儿童等弱势患者提供支持。

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