Introduction: The occurrence of anogenital warts in children is relatively rare, however it generates distress for the family and the physician regarding the possible association with sexual abuse.
Objective: To demonstrate cases of anogenital wart in children and the therapeutic options used.
Methods: Retrospective descriptive study of anogenital warts in children under 12 years of age, with a mean age of 4 years, treated between 2011 and 2015, in a sexually transmitted diseases public outpatient clinic in the Brazilian Southeast city of São Paulo.
Results: The authors demonstrated 20 cases — of which 12 were female and 8 were male. The preferred location for the lesions was the perianal region (70%), with 30% of the children presenting extragenital warts. The treatment of choice in 65% of cases was the application of topical medication (podophyllin and imiquimod). The longest time to cure was 20 weeks.
Conclusions: Anogenital condyloma was more frequent in girls, the mean age was 4 years, and the most affected site was the perianal region. The lesions had good therapeutic response with the application of the topical treatment of choice.

Keywords: CONDYLOMATA ACUMINATA; WARTS; CHILD; CHILD ABUSE, SEXUAL; THERAPEUTICS

Buschke-Lowenstein tumor (BLT) is an extremely rare variant of condylomata acuminata that presents a benign biological behavior and histological characteristics despite being clinically presented by large lesions. Many therapeutic approaches are available, many of which rely on extensive and mutilating surgical procedures. We present two cases of patients with BLT treated with topical podophyllin whose therapeutic responses were extremely favorable in both cases.

Keywords: Podophyllin; Condylomata Acuminata; Carcinoma, Verrucous; Neoadjuvant Therapy

Genital infection by Human Papillomavirus occurs 65% of the time after contact with contaminated skin and mucosa. Most people eliminate the virus through the immune system. Individual factors such as smoking, age, multiparity, prolonged use of hormonal contraceptives, sexual behavior, and infection by other Sexually Transmitted Diseases cause viral perpetuation and genital lesions, most of them asymptomatic. The most affected regions are anogenital. Treatment should be individualized. Excessive treatment can lead to scarring. We report a case of multiple treatments for removal of genital condyloma with consequent formation of extensive vulvar keloid.

Keywords: Condyloma acuminatum; Scar; Scar, Hypertrophic; Keloid

DNA-virus, which belongs to the papillomavirus group, causes Condylomata acuminata. In children under 3 years of age, transmission tends not to be due to sexual abuse but rather vertically. There is no consensus for the treatment of anogenital warts in children. The chosen method is individualized for each patient, preferring less traumatic treatments, with fewer sequelae. Although there are still some restrictions on the imiquimod use in children under 12, studies have already shown this therapy’s success in this age group. We report a case treated with 5% imiquimod cream with the resolution of pre-existing lesions.

Keywords: Condylomata Acuminata; Papilloma; Warts

INTRODUCTION: An 85% phenol and 4% croton oil solution (SFC) has cytotoxic effect on the epithelium; however, it has not been evaluated in the treatment of anogenital warts (AGW).
OBJECTIVE: To evaluate the effectiveness of SFC in the treatment of penile AGW in immunocompetent patients.
METHODS: Open, uncontrolled clinical trial (proof-of-concept), involving patients with penile AGW treated with SFC and reevaluated after 28 days.
RESULTS: We evaluated 16 treatments in 9 participants. SFC promoted total clearance of the lesions in 25% (95% CI 2-48%) of treatments.
CONCLUSIONS: Although well tolerated, SFC caused insufficient rates of total clearance.

Keywords: Condylomata Acuminata; Phenol; Papillomavirus Infections; Sexually Transmitted Diseases.