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February 24, 1984

Diagnosis and Epidemiology of Condyloma Acuminatum-Reply

Author Affiliations

Centers for Disease Control Atlanta

JAMA. 1984;251(8):1029. doi:10.1001/jama.1984.03340320018017

In Reply.—  We thank Drs Katz and Weiss for elaborating on the epidemiology and diagnosis of condyloma and their relationship to HPV. We agree entirely that the NDTI data on the incidence of condyloma acuminatum are minimum estimates of sexually transmitted HPV infections. If we were to add the diagnoses of flat condyloma, cervical intraepithelial neoplasia (CIN), and other genital neoplasms to the spectrum of HPV lesions, the incidence would be much greater. Thus, we concur that HPV is a very common—and probably the most neglected—sexually transmitted infection.Even though the NDTI data minimized both the spectrum and the magnitude of HPV infections, we believe that they accurately reflect trends of condyloma acuminatum during the past 15 years. They demonstrate that the incidence of HPV lesions has dramatically increased. This rise is consistent with trends in other STDs, such as genital herpes and Chlamydia trachomatis, for which we have inadequate

Zelnik M, Kantner JF:  Sexual activity, contraceptive use and pregnancy among metropolitan-area teenagers: 1971-1979 .  Fam Plann Perspect 1980;12:230-237.Crossref
Aral SO, Johnson RE, Zaidi AA, et al:  Demographic effects on sexually transmitted diseases in the 1970s: The problem could be worse .  Sex Transm Dis 1983;10:100-101.Crossref
Richard RM, Crumm CP, Townsend DE:  Workup of the patient with an abnormal Papanicolaou smear .  Gynecol Oncol 1981;12:S265-S272.Crossref
Margolis S:  Therapy for condyloma acuminatum: A review .  Rev Infect Dis 1982;4( (suppl) ):S829-S836.Crossref
Richardson AC, Lyon JD:  The effect of condom use on squamous cell cervical epithelial neoplasia .  Am J Obstet Gynecol 1981;140:909-913.