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Revista chilena de cirugía

On-line version ISSN 0718-4026


BARRERA E, ALEJANDRO et al. Surgical treatment of anogenital warts in hiv positive patients. Rev Chil Cir [online]. 2006, vol.58, n.6, pp.451-455. ISSN 0718-4026.

Background: Anogenital warts are the most common proctologic complaint in HIV positive patients. They may progress to epidermoid carcinoma and have a high recurrence rate. Aim: To report the experience with the treatment of anogenital warts. Patients and methods: Retrospective review of medical records of all HIV positive patients with treated anogenital warts. Results: Twenty HIV positive homosexual males aged 20 to 57 years, are reported. Eleven were on antiretroviral therapy at the moment of surgery. The most common symptoms of warts were bleeding, itching and the sensation of an anal lump. Fifteen patients had warts in all the anal margin, with extension to the anal channel. In four cases, the warts were fulgurated and in the rest, they were excised. The pathological study showed papilloma virus infection in all and moderate dysplasia in one. Sixteen patients were followed and the lesions recurred in two. Four patient died due to AIDS. Conclusions: Although no patient had carcinoma or severe dysplasia, the surgical treatment of anogenital warts provides symptomatic relief

Keywords : Anogenital warts; HIV; papilloma virus infection.

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