Anogenital warts in children. Clinical and virologic evaluation for sexual abuse

Childhood Condyloma Acuminatum: Association with Genital and Cutaneous Human Papillomaviruses

“…The earlier onset of anogenital warts in children whose mothers had cervical condyiomata during pregnancy and delivery favors a possible transmission of infection during delivery. The presence of condyiomata in the first week of life, reported also by others (4,19), may suggest transmission by ges-f... tationat hematologic or transamniotic routes (20). The presence of condyiomata in three children associated with HPV 6, and cutaneous warts induced by cutaneous HPV 2 or 4 in their parents, who were free of anogenital lesions, could be explained by a high prevalance of latent anogenital and cervical infections (21)(22)(23)(24), which might be transmitted to children during the pregnancy and delivery.…”

“…About 25% of children had condyiomata associated with cutaneous wart human papUlomavirus (HPV 2), and the infection occurred either through autoinoculation or through heteroinoculation from the warts of parents (3). Similar percentages of HPV 2-associated genital warts in children were reported by others: 25% to 27% (4,6,15). In the study by Hanson et al (6), two patients had double infection with HPVs 18 and 2.…”

Nonsexual Transmission of Anogenital Warts in Children: A Retrospective Analysis

“…Furthermore, in a study by Cohen et al (1991) 73 children under the age of three years with anogenital warts were examined for sexual abuse during a 2-year period. No evidence of sexual abuse was detected in 66 of the 73 children [19].…”

Anogenital warts and relationship to child sexual abuse: Systematic review and meta‐analysis

“…The presence or absence of other STDs was reported in 14 studies. [13][14][15][16][17]19,20,[22][23][24][25]28,35 Disease types screened included syphilis, gonorrhea, chlamydia, Trichomonas vaginalis, HSV, and HIV, though not all publications screened for each of these diseases. Affected victims typically had only a single disease, other than anogenital warts.…”