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Anogenital condylomata acuminata in young children: not always result of sexual transmission
  1. Joana Valente Dias,
  2. Sónia Gomes,
  3. Helga Afonso and
  4. Rita Teles
  1. Paediatric Department, Hospital Beatriz Ângelo, Loures, Portugal
  1. Correspondence to Dr Joana Valente Dias; joana.fdias{at}


Condylomata acuminata lesions, commonly known as anogenital warts, are caused by human papillomavirus and manifest as flesh-coloured or hyperpigmented papules or plaques in the anogenital region. We report the case of a previously healthy young child that presented with anal condyloma lesions without other accompanying symptoms. His mother had similar lesions in the genital area. After careful investigation, no evidence of sexual abuse was found. Gradual clinical improvement was observed without treatment. This case highlights a disease that, when diagnosed in children, should alert the physician to the possibility of sexual abuse. However, other transmission routes, such as vertical transmission or autoinoculation and heteroinoculation during non-sexual contact, should also be considered.

  • paediatrics
  • human papilloma virus
  • dermatology

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  • Contributors JVD prepared the manuscript. SG, HA and RT critically revised the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.