PLEASE HELP -genital warts - conflicting info. 
Author Message
 PLEASE HELP -genital warts - conflicting info.

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Quote:

> Warts are warts. If they are caused by HPV type 6 or 11, regardless
> of how they were transmitted, they will pretty much look and behave
> the same. There's no way that I know of that will prove that a
> given case of warts has been acquired by {*filter*} contact or by
> another route.

> *Note: "HPV" = human papillomavirus, which is the cause of most or all
> warts, as well as other more serious conditions, depending on the type
> of the virus. Types 6 and 11 typically produce warts which are not
> cancerous and do not lead to cancer. Types 16, 18, and some others cause
> more flat lesions that may lead to certain types of cancer, especially
> of the cervix, vulva, and {*filter*}.

All of this raises more questions ... at least, for me.

I have (1) a typical plantar wart, and (2) a flat wart on the
first ring knuckle of my right hand.  Ed Uthman's comments
suggest a couple of questions:

  o  Should all flat warts be treated?  (I've ignored mine for
     years, since it bothers me not at all.)

  o  Are (some of) the different strains of HPV specific to
     particular kinds of tissue, or can they (some of them)
     appear anywhere?

  o  One of my sisters, when young, had warts on her knees
     that proliferated.  Why do some warts seem to do nothing
     for years, and others spread?

Russell

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Thu, 09 Jul 1998 03:00:00 GMT
 PLEASE HELP -genital warts - conflicting info.

Quote:


>Subject: Re: PLEASE HELP -{*filter*} warts - conflicting info.
>Date: 20 Jan 1996 18:48:24 GMT


>>AAA) How long after {*filter*} contact do the warts appear? I've read 1-6
>>months, but also read elsewhere that it can be years.
>I don't think anyone knows. In practice we see HPV* infections (not
>necessarily warts, but including warts) appear in people who emphatically
>claim that neither they nor their spouses have had {*filter*} contact
>outside of marriage for decades. The problem is that is impossible to
>determine if this history is accurate, since the downside of admitting
>to marital infidelity may be rather catastrophic. ;)
>>BBB) How likely is it that warts appearing on the {*filter*} organs
>>externally but nowhere else on the body could be common warts and not
>>venereal warts?
>Warts are warts. If they are caused by HPV type 6 or 11, regardless of
>how they were transmitted, they will pretty much look and behave the
>same. There's no way that I know of that will prove that a given case of
>warts has been acquired by {*filter*} contact or by another route.
>>CCC) Has it been demonstrated/proven that {*filter*} warts can be
>>transmitted by other than {*filter*} contact? Different web pages have
>>told me yes and no.
>It's well accepted that {*filter*} transmission does occur, but there is
>nothing to suggest that all cases are aquired by {*filter*} contact.
>>DDD) Are male contraceptives effective in preventing transmission?
>If you mean {*filter*}s, I'm not aware that their effectiveness in this
>regard has been shown. In practice, we often see warts in areas which are
>not covered by a {*filter*}, i.e., the pubic area, groins, {*filter*}, perineal
>area, and upper inner thighs.
>*Note: "HPV" = human papillomavirus, which is the cause of most or all
>warts, as well as other more serious conditions, depending on the type
>of the virus. Types 6 and 11 typically produce warts which are not
>cancerous and do not lead to cancer. Types 16, 18, and some others cause
>more flat lesions that may lead to certain types of cancer, especially of
>the cervix, vulva, and {*filter*}.
>Ed Uthman, MD
>Pathologist
>Houston/Richmond, TX, USA

Ditto to Dr. Uthman's excellent reply from a gynecologist who sees and treats
{*filter*} warts every day.

I might add:  I have seen widowed patients who have not had {*filter*} contact of
any kind for over 20 years come down with {*filter*} warts, so I suspect there is
a variable, and often long, latent period after infection until the warts
appear.  Patients always ask whether or not this signals infidelity, and I
answer that it is impossible to tell, since the warts could be a manifestation
of an infection with HPV that occured years prior, before their spouse even
knew them.  

Nobody, to my knowledge, has proven that treatment of the man prevents
abnormal pap smears in his partner(s), or that {*filter*}s prevent warts.

Thanks,

D. Ashley Hill, M.D.



Thu, 09 Jul 1998 03:00:00 GMT
 
 [ 2 post ] 

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