Genital warts in children: problems of management

Human papilloma virus (HPV) infection in children and adolescents

“…Anogenital warts in children are rare, much less common than in adults; however, in pre-pubertal children, the reported incidence has been increasing dramatically since 1990 [4,49]. In girls, anogenital warts can present in the vulvar, vaginal, urethral, and peri-anal areas.…”

“…The modes of HPV genital transmission in children remain controversial. HPV can reach a child's anogenital area by vertical transmission or by close contact, which can be either sexual or non-sexual [23,49]. Sexual contact has been proposed as the most common mode of genital transmission of HPV in childhood by several researchers [23,49].…”

“…HPV can reach a child's anogenital area by vertical transmission or by close contact, which can be either sexual or non-sexual [23,49]. Sexual contact has been proposed as the most common mode of genital transmission of HPV in childhood by several researchers [23,49]. In the study of Stevens-Simon et al [60], genital HPV infection was found to be more common among sexually abused than non-sexually abused girls and the majority of them remained subclinical.…”

“…Management-treatment Nevertheless, the presence of anogenital warts in children has serious social and legal implications as it raises concerns of possible sexual abuse [14,23,49]. The likelihood of sexual abuse, as the mode of acquisition, increases with the age in childhood [54,55].…”

Vulval Warts in the Paediatric Age Group: A Report of Three Cases

“…Reports of Condylomata acuminata in children are rare, and the modes of transmission among children are said to be unclear. The proportion of children with genital warts who were proven to have been sexually abused ranges from 11 to 91 % as reported in some studies [4,5].…”