I would like to respond to the letter by Dr Goldenring regarding anogenital warts in children. I am in basic agreement with many comments made by Dr Goldenring. Clearly, any child presenting with warts found perirectally, perivaginally, periurethrally, or on the penis must be strongly suspected as being a sexual abuse victim. One must, however, consider the possibility that a neonate less than 1 year old acquired his or her anogenital warts from a mother infected with human papillomavirus at the time of delivery.1Dr Goldenring apparently believes that the validity of the article by Krzyzek et al2 is in doubt. In this article, human papillomaviruses types 1 through 3 were found in adult anogenital warts. Since types 1 through 3 are routinely found in common and plantar warts, the question arises whether wart virus transmission from nonvenereal warts to genital skin occurs with significant frequency.Dr Harold
Bender ME. Condylomata Acuminata in the Evaluation of Child Sexual Abuse-Reply. Arch Dermatol. 1987;123(10):1266. doi:10.1001/archderm.1987.01660340026003
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