| Etiology | Monitoring |
| Epidemiology | Prognosis |
| Diagnosis | Prevention |
| Treatment | Patient Education |
|
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Etiology
No evidence is cited.
Epidemiology
No evidence is cited.
Diagnosis
Clinical Diagnosis
Screening for HPV infection during the routine periodic health examination of asymptomatic women is not warranted.
- Caveats
- Type/size: Meta-analysis
- Extensive review of many studies
- Citations
- Johnson K, Periodic health examination, 1995 update: 1. Screening for human papillomavirus infection in asymptomatic women, Canadian Medical Association Journal 1995; 152: 483-493 - From Health Reviews for Primary Care Providers
- Similarly: Screening for human papillomavirus infection in asymptomatic women - Reviewed by the CMA-CPG Database
- Caveats
- Recommendations developed by the Society of Obstetrics and Gynecology of Canada and reviewed by the CMA-CPG Database, generally using EBM concepts
- Citations
No evidence is cited.
Treatment
Genital warts are treated best by local
application of 10% or 25% podophyllin, 10% podophyllotoxin or 85 percent
trichloracetic acid. Podophyllotoxin is applied by the patient twice daily
for three days.
- Caveats
- Recommendations developed by the Society of Obstetrics and Gynecology of Canada and reviewed by the CMA-CPG Database, generally using EBM concepts
- Citations
- HPV Infections: Guidelines for investigation and management - Developed by the Society of Obstetrics and Gynecology of Canada
- Similarly: Genital Warts - Reviewed by the CMA-CPG Database
- Caveats
- Age group studied: Unknown
- Type/size: RCTs of 300 and 225 patients
- Population characteristics: Referred to dermatology practice
- Outcome measure: Disappearance of wart
- Keratolytic "wart paint" used in all patients concurrently and plantar warts pared before freezing
- Citations
- Freezing warts - Reviewed by Bandolier
Monitoring
No evidence is cited.
Prognosis
No evidence is cited.
Prevention
No evidence is cited.
Patient Education
The following patient education materials are consistent with the available evidence.
- Genital Warts - From the AAFP
- What to do about warts - From the AAFP
- Warts - From the American Academy of Dermatology
Rev. 9/19/00
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This Web site developed and
maintained by Robert J. Flaherty,
MD.
Comments, additions and
corrections are encouraged.