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STDs (Expert Forum)
Please Clarify about HPV / Genital HPV
Answered by
University of Washington
Seattle - WA
This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomoniasis, Warts, Yeast Infection.All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.
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Please Clarify about HPV / Genital HPV
by MakaveliMOB, Jan 07, 2006 12:00AM
Hi Doctor,
I am hoping you can clarify some things about HPV for me. I have spoke with you briefly about this in the past, to later be confused by several other physicians.
A couple of months ago I found a flat lesion on top of my skin on my right Medial-Thigh. It was on the inside (not an area that touches the genitals, or can really be exposed to female genitals during intercourse). My dermatologist said it was a Seborrheic Keratosis, but biopsied it anyway. It came back as a "Benign Keratosis".
He calmed my fears by saying it was not Condyloma. So then I did some research myself on "NIH Pubmed" and read that most Keratotic lesions have HPV in them, and most normal skin also has HPV on it. So I had the doctor order an Immunostain test which check for HPV types. It came back as HPV 6,11,16,18 Negative. HPV 31,33,51 were Positive. Diagnosis: Verruca Keratosis.
The dermatologist said it was a wart but not a Genital Wart (Condyloma). I read, that over 90% of Genital warts are caused by HPV 6/11. So can I presume this was not an STD? I did rub that area a lot, before i recognized this lesion.
I know that HPV DNA is all over the normal adult skin, including the Genital area, so could this have just been skin contaimination with the HPV DNA? When they did the super sensitive test?
--Thanks in Advance.
I am hoping you can clarify some things about HPV for me. I have spoke with you briefly about this in the past, to later be confused by several other physicians.
A couple of months ago I found a flat lesion on top of my skin on my right Medial-Thigh. It was on the inside (not an area that touches the genitals, or can really be exposed to female genitals during intercourse). My dermatologist said it was a Seborrheic Keratosis, but biopsied it anyway. It came back as a "Benign Keratosis".
He calmed my fears by saying it was not Condyloma. So then I did some research myself on "NIH Pubmed" and read that most Keratotic lesions have HPV in them, and most normal skin also has HPV on it. So I had the doctor order an Immunostain test which check for HPV types. It came back as HPV 6,11,16,18 Negative. HPV 31,33,51 were Positive. Diagnosis: Verruca Keratosis.
The dermatologist said it was a wart but not a Genital Wart (Condyloma). I read, that over 90% of Genital warts are caused by HPV 6/11. So can I presume this was not an STD? I did rub that area a lot, before i recognized this lesion.
I know that HPV DNA is all over the normal adult skin, including the Genital area, so could this have just been skin contaimination with the HPV DNA? When they did the super sensitive test?
--Thanks in Advance.
Doctor's Answer
by H. Hunter Handsfield, M.D., Jan 07, 2006 12:00AM
, Jan 07, 2006 12:00AM
As I probably told you last time, your source for your diagnosis and advice about its possible causes is your own health care provider. Further, everything you say about yours suggests your dermatologist is well on top of this issue. I have nothing to add to his advice and have no explanation or advice about the identification of selected HPV types in the lesion or about when or where you contracted them. And with another apology, I have neither the time nor the energy to read the abstracts you attached as comments and have deleted them.
You seem more concerned than necessary to be about the distinction between seborrheic keratosis vs genital warts vs other diagnosis and about where your HPV came from. It doesn't seem very important and I do not understand why you insisted on the HPV testing to begin with.
Best wishes-- HHH, MD
You seem more concerned than necessary to be about the distinction between seborrheic keratosis vs genital warts vs other diagnosis and about where your HPV came from. It doesn't seem very important and I do not understand why you insisted on the HPV testing to begin with.
Best wishes-- HHH, MD
I dont mean to be rude, but I was looking to get better "educated" from you on hpv/genital warts, and other lesions it may cause. I did not expect to pay the donation fee for you to let me know that my dermatologist is already on top of it.
Thanks.
HHH, MD
Well I am sorry if i was off subject or expecting more. I just thought that some of that information might have been of interest to you.
The reason why I posted in the first place was because i dont really think my dermatologist knew what the diagnosis meant himself. It is hard to find a doctor in my area that is knowledgable about STDS.
I just want to know if its a STD Genital Wart, or just a Wart, it was not on the Genital Area nor did the Genitals touch that area, nor could that area be rubbed during intercourse. The diagnosis was NOT Condyloma Acuminate (sp?), rather it was Verruca Keratosis.
Thanks
Minor point of terminology: The terms "condyloma accuminatum" (plural "condylomata accuminata") are not synonymous with genital warts. This is simply one form of genital wart, the typical cauliflower-shaped lesion, especially on moist surfaces. Other genital warts are called papular, keratotic, and flat.
HHH, MD
this particular topic was of great interest to me because i myself had the exact same thing happen to me. i don't see why it's so hard to believe that HPV is difficult to understand. there are many different strains, so of course we'd be concerned as to which are capable of affecting which areas, and whether or not it counts as an STD. whatever, obviously there'll be no answer to be found here.
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