J Korean Assoc Pediatr Surg.  2010 Jun;16(1):32-36.

Anal and Perianal Condyloma Acuminatum in a 2 Years Old Girl

Affiliations
  • 1Department of Pediatric Surgery, Seoul National University Children's Hospital, Korea.
  • 2Department of Surgery, Gacheon University Gil Hospital, Korea. pyh@gilhospital.com
  • 3Department of Pathology, Gacheon University Gil Hospital, Korea.

Abstract

Condyloma acuminatum is an uncommon disease but there is an increased incidence reported in recent years in prepubertal children. Anal and perianal condyloma accuminatum in children may suggest sexual abuse and treatment should include the thorough social evaluation as well as medical treatment. A 25 month old girl presented with multiple sessile nodules around her anal and perianal area, Biopsy confirmed the diagnosis of condyloma accuminatum. There was no definite evidence of sexual abuse, but her father had condyloma accuminatum involving his penis. The patient's lesions were excised totally. At three week follow up there was no anal stricture but there were newly developed small lesions around perianal area. Imiquimod onit was applied for 2 weeks and the recurred lesion disappeared completely. At postoperative 5 month, the operative area was fully epithelialized without recurrence.

Keyword

Anal and perianal; Condyloma accuminatum; Children

MeSH Terms

Aminoquinolines
Biopsy
Child
Constriction, Pathologic
Fathers
Follow-Up Studies
Humans
Incidence
Male
Penis
Recurrence
Sex Offenses
Aminoquinolines
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