Can I wash pseudo-condyloma acuminatum with salt water?

The symptoms of pseudo-condyloma acuminatum and true condyloma acuminatum are similar. When pseudo-condyloma acuminatum appears, it is best not to use saline to clean it, because the cleaning effect is not particularly good. You can take cetirizine syrup orally. In addition, you can use calamine lotion or Wuji ointment for external use for treatment. In daily life, do not eat spicy and irritating foods, and keep your private parts clean and hygienic.

Symptoms and features of pseudocondyloma acuminatum

Pseudo-condyloma acuminatum is a disease whose cause is still unknown. Its clinical features and tissue pathology are easily confused with condyloma acuminatum. Therefore, it is easy to misdiagnose clinically.

①Color:

The appearance of pseudo-condyloma acuminatum was light red (mucosal color) in 67 cases and light brown in 13 cases.

②Size:

Pseudo-condyloma acuminatum is 1 to 2 mm in diameter.

③ Movement:

There were 66 cases of pseudo-condyloma acuminatum that were roe-like, 7 cases that were villous, 2 cases that were polyp-like, 3 cases that were papular, 1 case that was lichen-like, and 1 case that was filiform.

④ Location:

There were 46 cases of pseudo-condyloma acuminatum on the inner side of the labia minora, 32 cases on the vaginal vestibule, and 2 cases on one side of the labia minora.

Diagnosis of Pseudocondyloma Acuminatum

The clinical manifestations of this disease are very similar to atypical condyloma acuminatum. The misdiagnosis rate in this group is 50%. The reasons for misdiagnosis are as follows:

Lack of understanding

Therefore, the two disorders cannot be differentiated clinically. At the initial visit, the patient was arbitrarily diagnosed as genital warts, which was a misdiagnosis.

One-sided thinking

Patients with more than two sexual partners are easily diagnosed with genital warts as long as they have condyloma acuminatum-like lesions on their genitals.

Dependence Pathology

Because some doctors do not have sufficient knowledge of the morphology of skin lesions, they routinely perform tissue biopsy when they encounter genital rashes and rely on pathologists to make a final conclusion. Since most pathologists are not specialized in dermatology and have insufficient knowledge of the characteristics of pseudo-condyloma acuminatum lesions, they often diagnose condyloma acuminatum based solely on cellular vacuolar changes when reading films. In addition, clinicians, especially obstetricians and gynecologists and urologists, rely too much on pathological diagnosis, which leads to misdiagnosis.

Initial diagnosis

No further examination was performed. Based on the skin lesions, the diagnosis of this group of cases was suspected to be wrong, and the diagnosis was revised after PCR examination and acetowhite test.

The difference between pseudo-condyloma acuminatum

Genital warts and pseudo-warts should be distinguished from each other. Pseudo-condyloma is a newly recognized disease in recent years. Pseudo-condylomata is more common in young women, and can occur in both unmarried and married women; the age of onset is mainly between 18 and 40 years old, and the incidence rate is 16% to 18%. The clinical manifestations are 1-2 mm papules, light red, clustered and not fused; smooth, roe-like or villous in shape, and granular to the touch; distributed on the inner side of the labia minora or the vestibule of the vagina. Generally there are no subjective symptoms or only mild itching, which can be easily confused with genital warts clinically. Genital warts mostly occur on the vulva, vagina, urethral orifice, cervix and perianal area. Initially they are small moist papules of light red or dirty gray color, which quickly form wart-like proliferations of varying sizes that may fuse and be shaped like cauliflower or cockscomb, sometimes with secretions and a foul odor.

For clinical identification, you can use gauze or cotton swab dipped in 5% acetic acid solution to apply tightly to the affected area and observe after 2 to 5 minutes: if it is condyloma acuminatum, the local area will turn white, which is a positive reaction; pseudo-condyloma acuminatum is a negative reaction, that is, no color change. If there is local inflammation, it may be a false positive reaction and a pathological examination may be performed if necessary.

The cause of pseudocondyloma is still unknown, but it is generally believed to be a benign papilloma associated with developmental abnormalities. Whether the occurrence of this disease is related to hormone levels in the body needs further study.