Anal Warts Condyloma What are anal warts? Anal warts, also known as condyloma, are growths found on the skin around the anus rectal opening or in the lower rectum. What causes anal warts? Anal warts are caused by the human papilloma virus, which is usually transmitted through sexual contact but not necessarily through anal intercourse. There are many types of human papilloma virus; some cause warts on the hands and feet and others cause genital and anal warts.
Multimedia Report of a Case A year-old man presented for evaluation of large recurrent growths around the anus and rectum. He had been diagnosed as having chronic lymphocytic leukemia at age 36 years and was treated with fludarabine phosphate, cyclophosphamide, and rituximab at age 42 years, with successful induction of remission. His disease returned 3 years later, and while undergoing chemotherapy with the same regimen, he developed perianal and penile skin lesions. The penile lesions cleared with serial treatment with cryotherapy, imiquimod, and sinecatechins, to which the perianal lesions were refractory. He underwent 2 surgical debulking procedures for the rapidly progressive perianal lesions, which exhibited aggressive regrowth within 2 weeks of each debulking. An adjacent 3-mm papule with corymbiform surface consistent with a common wart was also noted Figure 1.
Anal condyloma acuminatum is the most commonly diagnosed sexually transmitted disease in the United States. Risk factors for anal condyloma acuminatum include multiple sex partners, early coital age, anal intercourse, and immunosuppression. Transmission occurs by way of skin-to-skin contact through sexual intercourse, oral sex, anal sex, or other contact involving the genital area.
Severe case of external genital warts on a female Severe case of genital warts on a male Small condylomata on scrotum Genital warts may occur singly but are more often found in clusters. They can also occur on internal surfaces like the opening to the urethra , inside the vagina, on the cervix , or in the anus. In some cases they look like small stalks.