How to confirm if a bump is a genital wart?

Hi,

Welcome to icliniq.com.

I can understand your concern.

For your symptoms, you can apply Fucidin (Fusidic acid) cream topically twice daily for seven days.

To arrive at a definitive diagnosis, please answer the following questions:

1. When did the skin lesion or symptom first appear?

2. Are you currently experiencing any itching, burning, or pain?

3. Is there any oozing or discharge from the area?

4. Have you noticed any excessive scratching or rubbing?

5. Is there any history of high-risk exposure (e.g., unprotected sexual contact, recent travel, contact with infected individuals)?

6. Have you had any fever or flu-like symptoms?

7. Are there any other associated symptoms (e.g., swelling, redness, fatigue)?

8. Are you currently taking any medications (prescription or over-the-counter)?

If you need any more clarification or help with your questions, feel free to ask.

Thank you.

Hi,

Welcome back to icliniq.com.

I can understand your concern.

It appears to be a flat-topped plaque genital wart with secondary bacterial infection due to excess scratching and rubbing, or popping lesions.

Clinical variants of genital warts are small papular, sessile, cauliflower-like florets, flat-topped papules or plaques, and giant condyloma.

Sometimes bleeding, ulceration, and secondary bacterial infection are associated.

Investigation to be done:

1. Acetowhite test for preliminary HPV (human papillomavirus) assessment.

2. Skin biopsy (to detect koilocytes, i.e., mature squamous cells with perinuclear halos and smudgy nuclei).

3. HPV DNA detection by PCR (polymerase chain reaction).

4. Comprehensive STI (sexually transmitted infections) panel to rule out co-infections.

5. Serological tests for HIV, syphilis, and hepatitis B or C.

Treatment plan

1. 20 percent podophyllin in alcohol is applied to the lesion with an applicator, covering the surrounding area with vaseline, left for four to six hours, and then cleaned.

2. Repeated every third day, till lesions are completely cured (done by the doctor only).

3. Podophyllotoxin cream 0.15 percent cream or 0.5 percent solution (twice daily for three days, followed by four four-day gaps, for three cycles). It can be applied by yourself.

Other treatment options are:

1. 5 percent 5 Fluorouracil cream applied locally to the lesion for three to seven days.

2. An immunomodulator with 5 percent Imiquimod cream three times per week every other night for a maximum of 16 weeks will help.

3. Surgical methods such as cauterization, excision under local anesthesia, and cryocautery or CO2 laser are also options available.

4. Apply Fucidin cream (Fusidic Acid) twice daily for seven days (as there is a secondary bacterial infection).

5. Take Doxycycline 100 mg once a day after dinner for ten days.

6. Wash the area with Episoft cleanser (Cetearyl Alcohol, 1,3 Butylene glycol, and Maltooligosyl Glucoside) or no soap cleanser daily for two months. Try not to scratch or rub the lesion.

I hope this answers your query.

Let me know if I need to assist you further.

Thank you.