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Extensive Genital Warts in an Immunocompromised Host


Affiliations
1 Department of Medicine, DMIMS(DU), Sawangi(meghe), Wardha, Maharashtra - 442001, India
2 Department of Dermatology, DMIMS(DU), Sawangi(meghe), Wardha, Maharashtra - 442001, India
3 Department of Medicine - DMIMS(DU), Sawangi(meghe), Wardha, Maharashtra - 442001, India
     

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A 45 year old male presented to us with lesions in the genital area since 3 months. There was history of promiscuous sexual behaviour. He had lost seven kilos of weight during the past 4 months. Examination revealed multiple painless bumps in the genital area including ischolar_main of penis and scrotum. Discharge was present (fig-1). A diagnosis of extensive genital warts was made. The diagnosis was straight forward by clinical picture. Malignancy was not suspected based on the short duration of the lesions. Though HPV is responsible for nearly half of the penile cancers in men, it usually takes about 10 to 20 years to develop carcinoma. Though in our case a biopsy was planned but the patient did not give consent for the same. ELISA for HIV-2 was positive and CD4 count was 300/cu.mm. Patient was treated with ablation therapy and anti-retroviral therapy.
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  • Extensive Genital Warts in an Immunocompromised Host

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Authors

S. Onteddu
Department of Medicine, DMIMS(DU), Sawangi(meghe), Wardha, Maharashtra - 442001, India
S. Acharya
Department of Medicine, DMIMS(DU), Sawangi(meghe), Wardha, Maharashtra - 442001, India
N. R. Zade
Department of Dermatology, DMIMS(DU), Sawangi(meghe), Wardha, Maharashtra - 442001, India
N. Kothari
Department of Medicine - DMIMS(DU), Sawangi(meghe), Wardha, Maharashtra - 442001, India

Abstract


A 45 year old male presented to us with lesions in the genital area since 3 months. There was history of promiscuous sexual behaviour. He had lost seven kilos of weight during the past 4 months. Examination revealed multiple painless bumps in the genital area including ischolar_main of penis and scrotum. Discharge was present (fig-1). A diagnosis of extensive genital warts was made. The diagnosis was straight forward by clinical picture. Malignancy was not suspected based on the short duration of the lesions. Though HPV is responsible for nearly half of the penile cancers in men, it usually takes about 10 to 20 years to develop carcinoma. Though in our case a biopsy was planned but the patient did not give consent for the same. ELISA for HIV-2 was positive and CD4 count was 300/cu.mm. Patient was treated with ablation therapy and anti-retroviral therapy.