Giant genital wart in pregnancy: cryotherapy as a spray of hope

Authors

  • Vivekananda Ittigi Department of Dermatology, Venereology and leprosy, HIMS, Hassan, Karnataka, India
  • Gouhare Afshan Department of Dermatology, Venereology and leprosy, HIMS, Hassan, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4529.IntJResDermatol20201593

Keywords:

Giant genital wart, Pregnancy, Cryotherapy

Abstract

Giant genital warts are caused by (HPV) type 6 and 11. Genital warts in pregnancy pose a treatment challenge. Here we report a case of 19 years pregnant patient treated with cryotherapy. A 19 years mid-term pregnant female presented with complaints of mild itchy increasing growth over the genitalia, in the past 20 days. Examination revealed a pinkish solitary cauliflower like growth over labia majora. The patient was treated with liquid nitrogen cryotherapy with each cycle of freeze and thawing for 15 seconds each for 12 weeks, the lesion almost regressed. Cryotherapy is a safe, easy and effective treatment modality in pregnancy.

References

Grimaldi L, Cuomo R, Bilenchi R, Roviello F, Nisi G, Brandi C, et al. A case report of giant genital warts. J Siena Acad Sci. 2014;6(1):31.

Buschke A, Lowenstein L. Uber carcinomahliche condylomata accuminata des Penis. Klin Wochenschr. 1925;4:1726-8.

Wiley DJ, Douglas J, Beutner K, Cox T, Fife K, Moscicki AB, Fukumoto L. External genital warts: Diagnosis, treatment and prevention. Clin Infect Dis. 2002;35(2):210-24.

Lacey CJ, Fairley I. Medical therapy of genital human papilloma virus-related disease. Int J STD AIDS. 1995;6:399-407.

Yang YG, Zou XB, Zhao H, Zhang YJ, Li HJ. Photodynamic therapy of condyloma acuminata in pregnant women. Chin Med J (Engl). 2012;125:2925-8.

Gilson RJ, Ross J, Maw R, Rowen D, Sonnex C, Lacey CJ. A multicentre, randomised, double-blind, placebo-controlled study of cryotherapy versus cryotherapy and podophyllotoxin cream as treatment for external anogenital warts. Sex Transm Infect. 2009;85:514-9.

Mi X, Chai W, Zheng H, Zuo YG, Li J. A randomized clinical comparative study of cryotherapy plus photodynamic therapy vs. cryotherapy in the treatment of multiple condylomataacuminata. Photodermatol Photoi-mmunol Photomed. 2011;27:176-80.

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Published

2020-04-21

Issue

Section

Case Reports