Hello dear patients. Today we are going to review the case of relapse of genital warts or condylomas acuminatas around the scar. Indeed, often the doctors or the patients themselves, practice a simple removal of condylomas acuminatas and prescription of so-called my favorite anal treatment. Most commonly, anal treatment is viferon suppositories put inside the anus or tablet treatment. As in this case, I often saw the cases of relapses after such irrational or incomplete treatment. This is what happened in our particular case – the patient had removal done in dermatovenerologic dispensary at the place of living. Also, without any analyses, these suppositories were prescribed to him.

I won’t say that they don’t fit everybody, but I consider such prescription without any analyses, incorrect. I also consider incorrect that the analysis for human papillomavirus was not done, etc. I won’t argue with the opinion of every doctor as he treats in a way that he considers right. First of all, around the white scar here we see an appearance of condylomas acuminatas. If we talk about the practice of wart removal, then it is called fairy rings, this is when new warts develop around an already removed wart. So that is what happens in this case as we see a white scar and condylomas acuminatas along the edges. Analyses for human papillomvirus were done for the first time for this patient and 44th and 53rd types of viruses were found in high concentration. Usually, the condylomas relapse for a reason. When I take analyses, usually the concentration of viruses, at least of one of them, is high, if two or more viruses are found.

This indicates that the balance between immunity and virus shifts towards the virus, excessive multiplication of virus takes place and multiplication of cells under the influence of virus. As a result of that, the relapse of condyloma acuminata develops as in our case. Here, not the 6th and 11th, not 16th and 18th types, but a 44th type was found. It is an analogue of 11th type and even on this channel I describe the cases when the 44th type is a cause of condylomas acuminates. It’s not the fact that 53rd type is not the cause but we have noted that 33rd, 11th, 44th, 66th types are also the cause of condylomas acuminatas development even though it’s less common cause than 6th and 11th types at least frequency wise. What was done here? It’s no doubt that we cannot do without the removal.

Together with that, immunogram and general blood analysis were prescribed and a full-scale immunologic treatment was prescribed. Also, after such courses of treatment, particularly if there are none of these four types against which the vaccination is done, I recommend the patients to do vaccination. This is particularly the case if 6th, 11th, 18th and 16th types are absent. Nowadays, in a large number of studies it was proven that even if the virus is present, this doesn’t prevent vaccination. For sure, the vaccination shouldn’t be done together with immune treatment. According to our observations, even in HIV positive people, who did such things on their own, I often, not always but often, saw the decrease of condylomas acuminatas size even without the proper removal.

In other patients this increased the efficiency of treatment and this decrease the risk of infection by viruses against which the vaccination is done. Certainly, such vaccination is indicated if there are no contraindications as for any other vaccine. So this can safely be recommended even together with anal treatment which many doctors like so much. If it is necessary to diagnose, treat and remove human papillomavirus and other rashes in the area of sexual organs, you can consult venerologists and urologists of our paid medical center of dermatovenerologic dispensary in Moscow. We have experienced specialists who do diagnostics and treatment of such rashes. We are waiting for you in our clinic, please subscribe to our channels on youtube and instagram. Thank you for your attention.

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DVD dermato-venerologic dispensary is a specialized institution that provides medical care on dermatology, venerology, urology, gynecology and other specialties.

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