International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 11 | Clinical Image | Open Access

Anogenital Warts in Children Always Means Sexual Abuse?

Mariana Meneses^*

Mariana Meneses1*, Maria Sousa Dias1, Sílvia Duarte-Costa1, Joana Rocha2, Maria José Costa1,3

1Department of Pediatrics, Unidade Local de Saúde de Matosinhos - Hospital Pedro Hispano, Porto, Portugal

2Department of Dermatology, Unidade Local de Saúde de Matosinhos - Hospital Pedro Hispano, Porto, Portugal

3Nucleus to Support Children at risk, Unidade Local de Saúde de Matosinhos - Hospital Pedro Hispano, Porto, Portugal

^*Correspondence to: Mariana Meneses 

Abstract

Previously healthy 8-year-old female patient with multiple anogenital lesions with “cauliflower appearance”, which were increasing in size, and causing some pain (Figure 1). After assessment, the diagnosis of condyloma acuminatum was made and treatment with imiquimod was started. The child lived with her mother and older sister, and neither of them had condylomatosis. Facing the positivity of HPV infection, analytical study to exclude other sexually transmitted diseases was made (negative). Psychologic and forensic evaluation concluded that the child was stable at a behavioral and emotional level, with no signs of sexual abuse. Due to persistence of lesions under imiquimod, cryotherapy was started with a subsequent improvement (Figure 2).

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Citation:

Mariana Meneses, Maria Sousa Dias, Sílvia Duarte-Costa, Joana Rocha, Maria José Costa. Anogenital Warts in Children Always Means Sexual Abuse?. Int Clinc Med Case Rep Jour. 2024;3(11):1-3.