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Investigation of patients with genital warts presenting to dermatological and to genito‐urinary departments
Author(s) -
Mitchell D.M.,
Kellett J.K.,
Haye K.
Publication year - 1985
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1111/j.1365-2133.1985.tb12977.x
Subject(s) - genital warts , medicine , urethritis , chlamydia , dermatology , sex organ , condyloma acuminatum , gonorrhea , syphilis , sexually transmitted disease , gynecology , human papillomavirus , immunology , human immunodeficiency virus (hiv) , biology , genetics
Although many patients with genital warts attend a genito‐urinary clinic, a number are referred by their general practitioners directly to a dermatologist. Studies from genito‐urinary clinics have suggested that a high proportion of patients have other genital infections. A recent study has suggested that patients with genital warts referred to dermatologists are similar (Fairris, Statham & Waugh, 1984). Fifty male patients with anogenital warts referred to the Skin Hospital were studied. Details of sexual history, contact with anogenital or other viral warts, and history of previous or concomitant sexually transmitted disease were obtained. Patients were examined for urethral discharge, and for proctitis in the case of perianal warts. Urethral swabs for Gram stain, gonococcal culture and Chlamydia culture were taken from all patients, with rectal swabs for gonococcal culture from patients with perianal warts. Serological tests for syphilis were performed. Clinical evidence of genital infections other than warts was found in only one patient with a urethral discharge, who was found to have gonococcal urethritis. Genital infections were detected in three patients. Urethral swabs from two grew Gonococcus , and from one grew Chlamydia. Of 50 male patients presenting with anogenital warts to the genito‐urinary department of the Manchester Royal Infirmary, eight had other genital infections. These included one with gonococcal urethritis, five with non‐specific urethritis and two Chlamydia infections. A similar study of female patients is being undertaken and preliminary results suggest a higher rate of genital infections than in men.