The Dermatologist - Venereologist Ioannis Chiotis in Rhodes deals with the diagnosis and treatment of diseases such as warts.
Genital warts are hyperplasias of the epithelial cells, that are due to a Human Papilloma Virus, HPV infection and are localized at the genital or perianal area.
They are due to a DNA virus, of the Papovaviridae family. The subtypes 6, 11 are the most common ones, but also the high risk 16, 18, 31, 33 subtypes can be detected and remain even in subclinical form for long time periods.
They are usually asymptomatic, pink colored separate papules that can cluster to plaques or develop forming large cauliflower-like masses. They are detected in men usually on the penis, the scrotum and perianally, and in women in the labia, the vagina, the cervix and perianally.
The perianal detection is accompanied by pruritus (itching), burn or pain. Its localization in the oral mucosa must be also controlled.
Subclinical damages appear with the spraying of the mucosa with 5% acetic acid for a few minutes and appear in the form of small white papules.
The subtypes 16, 18, 31, 33 mainly cause chromosomal mutations that may possible lead to uterine cervix neoplasia in adulthood.
Self-healing is observed in some cases, but there is a tendency for relapse after the treatment. A regular examination in adulthood through pap tests must take place when there is a history of warts.
The treatment is some times difficult due to frequent relapses.
A combination of therapeutic methods is also applied:
- Surgical removal
- Local keratolytic preparations (17% salicylic acid)
- Podophyllotoxin - podophyllin
- Imiquimod 5% for local application