»Human papillomavirus (HPV)

They can also be located in the urethral meatus, peribad region, labia minora, clitoris and badl introitus.

Infection with human papillomavirus (HPV), also known as verruca vulgaris, venereal condyloma, condyloma acuminata and venereal papilloma; It represents one of the most common badually transmitted diseases and there are no countries, races, ages or gender that are unaffected. Most people infected with HPV do not know it.

In 1969, the virus was discovered under the electron microscope, but in the Roman era, peribad warts were already known and patients were ridiculed by poets. from the moment. In the nineteenth century, it was thought that it was the result of poor hygiene.

HPV is restricted to squamous epithelia of the skin and mucous membranes, with a period of incubation that can range from six weeks to eight weeks. months The latency can remain for long periods that vary between 20 and 25 years. Genital HPV is usually spread by prolonged direct contact with the skin and the most common forms are badl bad and bad bad.

In women, the infection is characterized by the presence of warts on the edges of the skin. the skin and mucosa of the vulva, which grow in clusters with the appearance of cauliflower, moist, not painful. Its color is salmon pink or greyish. They can also be located in the urethral meatus, the peribad region, the labia minora, the clitoris and the badl introitus. In men, they tend to have the same characteristics as women, the most affected regions being the brake, the preputial balano sulcus and the urethral meatus.

More than 100 HPV viral genotypes are clbadified according to their oncological pathogenesis types of high and low risk. Some genotypes lead to cancers of the cervix of the uterus, vulva, bad and anus in women, as well as to penile and anus cancers at l & # 39; man. Lesions can also develop in the throat, larynx and nasal pbadages due to oral bad practices with people infected with HPV.

The infection is usually diagnosed by cervical-uterine cytology (Papanicolaou test). , colposcopy with 3% acetic acid and biopsy, being the definitive diagnosis based on HPV typing by molecular techniques, to demonstrate the presence of the virus and identify the viral type responsible for the infection.

Treatment is multiple and varied, such as the application of substances, antiviral, cryotherapy, electrocoagulation, laser and surgery, whose purpose is the elimination of exophytic warts and the relief of signs and symptoms, that is why you should choose the technique taking into account the anatomical site, size and number of warts, efficiency, cost, convenience and the possibility adverse effects.

As the recurrence is very high, condom use is very important because it reduces the chances of contracting it. In June 2006, the FDA approved a prophylactic vaccine against HPV that protects against HPV types 16 and 18, which cause most cases of cervical cancer of the uterine cervix.

citizenship (bad education, vaccination, health care) and periodically undergo medical examination for the timely diagnosis and treatment of human papillomavirus

(*) Occupational physician

Specialist in health management.

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