Condylomata acuminata in the evaluation of child sexual abuse

Goldenring, John M.

doi:10.1001/archderm.123.10.1265

Cited by 7 publications

(2 citation statements)

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“…If for example, the children in one study contained a different proportion of sexually abused children, then the proportion of genital warts due to types 1-4 would vary accordingly. Two studies support this inference, with highest proportion of sexually abused children (60 % and 40 %) reporting the lowest proportion of HPV types [1][2][3][4] (0% and 4%) [15,16]. In adults, the only recent Transmission of genital warts in children article to have estimated the proportion of genital warts containing types 1-4 suggested the proportion was about 2 % [8], and this concurs with zur Hausen (personal communication).…”

Section: Discussionmentioning

confidence: 64%

“…The transmission of genital warts in children is less clear. Some believe this condition in children is virtually pathognomonic of sexual abuse [3,4], while others disagree [5]. To clarify this, the proportion of children with genital warts who have documented sexual abuse has been estimated, but varies greatly from a low of 11 % (n = 73) in one study to 91 % (n = 11) in another [6,7].…”

Section: Introductionmentioning

confidence: 99%

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Hand-genital transmission of genital warts? An analysis of prevalence data

et al. 1995

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The role of hand-genital transmission in the aetiology of genital warts is unclear. However this route is suggested by a number of observations including the relatively high proportion of genital warts in children which contain HPV types 1-4 (15% for children and 2% for adults). We compared two transmission models; one which assumes that hand-genital transmission occurs and one that it does not, and determined the conditions in which each model can reflect the available prevalence data. Hand-genital transmission provides a simple explanation of the observed differences in the proportions of genital warts containing HPV types 1-4 and 6/11 in children and adults. If hand-genital transmission does not occur, the observed difference could only be explained by an eightfold greater probability of transmission to children of types 1-4 than types 6/11, or by an eightfold greater duration of infection with types 1-4. Our findings provide support for the view that genital warts may be transmitted by hand-genital contact.

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Section: Discussionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Hand-genital transmission of genital warts? An analysis of prevalence data

et al. 1995

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Childhood sexual abuse - a dermatological perspective

Berth‐Jones

Graham‐Brown

1990

Clin Exp Dermatol

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Anogenital warts in children

Handley¹,

Maw²,

Bingham

et al. 1993

Clin Exp Dermatol

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Fourteen children presenting with anogenital (AG) warts and their close family members were studied; 28.6 and 8.3% of presenting children and other child household members, respectively, had non-genital cutaneous warts; 42.8% of children with AG warts had one or more adult household member with common hand warts. Fifty per cent of all mothers had subclinical cervical papilloma virus (PV) infection; only one male adult had subclinical PV infection of the penis without concurrent AG warts. Of the children with AG warts 42.8% had one or more adult household member with AG warts. Human papilloma virus (HPV) deoxyribonucleic acid (DNA), type 6/11 most frequently, was detected in 38.5% AG wart biopsies from children, and 67% AG wart biopsies from adults. HPV 31/33/35 was detected in 28.5% of cervical preneoplasias and type 6/11 in the one case of subclinical PV infection of the penile shaft. Detection of HPV types 6/11, 16/18, or 31/33/35 in AG warts in children was significantly associated with vertical (from an HPV-infected maternal birth canal during vaginal delivery) or sexual transmission of these warts (Fisher exact probability P = 0.031).

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Condylomata acuminata in the evaluation of child sexual abuse

Cited by 7 publications

References 0 publications

Hand-genital transmission of genital warts? An analysis of prevalence data

Hand-genital transmission of genital warts? An analysis of prevalence data

Childhood sexual abuse - a dermatological perspective

Anogenital warts in children

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