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Anogenital warts in pediatric population.

Miguel Costa-Silva1, Inês Fernandes2, Acácio Gonçalves Rodrigues2

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Anogenital warts in children can be challenging, especially concerning sexual abuse. Non-sexual transmission is likely in young children, while older children may indicate sexual abuse.

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Area of Science:

  • Pediatrics
  • Dermatology
  • Infectious Diseases

Background:

  • Anogenital warts in children present diagnostic challenges, particularly regarding potential sexual abuse.
  • Human papillomavirus (HPV) transmission routes in pediatric populations require careful consideration.

Purpose of the Study:

  • To review current knowledge on pediatric anogenital warts, transmission, and sexual abuse association.
  • To propose a multidisciplinary approach for evaluating children with anogenital warts.

Main Methods:

  • Systematic literature review (2000-2016) in Portuguese and English.
  • Databases searched: ISI Web of Knowledge and PubMed.
  • Inclusion criteria: Children aged 12 years or younger.

Main Results:

  • Both sexual and non-sexual HPV transmission in children are documented.
  • Sexual transmission is more probable in children over 4 years old.
  • Non-sexual transmission should be considered in children under 4, absent other indicators of abuse.

Conclusions:

  • The likelihood of sexual abuse association with HPV infection increases with age.
  • HPV genotyping's role in sexual abuse evaluation is debated.
  • A multidisciplinary approach enhances the identification of sexual abuse in children with anogenital warts.