Vulval Warts in the Paediatric Age Group
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Introduction :

Condylomata acuminata seen in the anogenital region are usually caused by human papilloma virus (HPV) 6 and 11. In adults, transmission is usually via sexual transmission, but HPV and resulting anogenital warts in pediatric populations may be a result of perinatal vertical transmission, indirect transmission through contaminated objects or surfaces, autoinoculation, or sexual transmission [1].

Both sexes are affected equally, and the infection is usually transmitted by sexual intercourse, although spreading by autoinoculation from the hands may sometimes occur. Other forms of transmission include during vaginal delivery and intimate nonsexual contact with an infected individual [2].

Genital warts were initially associated with Sexually Transmitted Infections (STIs) like syphilis and gonorrhea, afterward with chronic irritation. Many of these are known to cause genital warts, skin warts, as well as oral and laryngeal papillomata although they all have distinct histology and immunology [3].

The peak incidence occurs in people in their twenties. Reports of Condylomata acuminata in children are rare, and the modes of transmission among children are said to be unclear. The proportion of children with genital warts who were proven to have been sexually abused ranges from 11 to 91 % as reported in some studies [4, 5]........

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755947/
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