Related Experiment Video
Updated: Sep 15, 2025

Author Spotlight: Dermatopathology and the Treatment of Sexually Transmitted Diseases
Published on: November 8, 2024
Transmission and therapeutic modalities on condyloma acuminata in children: a case report
Nissa Avina Pilar1, Hasnikmah Mappamasing1, Regitta Indira Agusni1
1Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Insights
A one-year-old child was diagnosed with condyloma acuminata, likely from non-sexual transmission. Treatment with trichloroacetic acid (TCA) successfully resolved the anogenital warts without recurrence.
Area of Science:
- Pediatric Dermatology
- Infectious Diseases
Background:
- Condyloma acuminata, typically a sexually transmitted infection (STI), is rare in pediatric patients.
- Understanding non-sexual transmission routes is crucial for accurate diagnosis and management in children.
Observation:
- A one-year-old presented with a rapidly growing, cauliflower-like anogenital lump.
- Acetowhite testing confirmed the presence of human papillomavirus (HPV) related lesions.
- Histopathology revealed characteristic hyperkeratosis, acanthosis, and papillomatosis.
Findings:
- The pediatric patient was diagnosed with condyloma acuminata.
- Successful treatment was achieved using 90% trichloroacetic acid (TCA) with complete resolution after two applications.
- No recurrence was noted during a six-month follow-up period.
Implications:
- This case highlights the possibility of non-sexual transmission of condyloma acuminata in young children.
- It underscores the importance of considering STIs in pediatric cases and the need for a holistic approach by venereology specialists.
- Early diagnosis and effective treatment are vital, alongside vigilance for potential underlying sexual abuse.
Abstract:
This case report presents a unique instance of condyloma acuminata in a one-year-old child, which adds to the scientific literature by highlighting the potential for non-sexual transmission in pediatric patients. The child exhibited a rapidly enlarging, skin-colored lump around the anus, initially a small bump that soon resembled a cauliflower. Acetowhite testing was positive, and histopathological examination revealed hyperkeratosis, acanthosis, and papillomatosis, leading to the diagnosis of condyloma acuminata. The main therapeutic intervention involved the application of 90% trichloroacetic acid (TCA), resulting in complete lesion resolution after two treatments, with no recurrence observed over a six-month follow-up period. This case emphasizes the urgent need for special attention to sexually transmitted infections (STIs) in children, considering the potential link to sexual violence. It highlights the critical, holistic role of venereology specialists, not only in providing effective and safe curative treatments but also in actively preventing further transmission and supporting vulnerable patients like children.
Related Concept Videos
Sexually Transmitted Infections
Transmission-based Precautions I: Contact, Enteric, and Droplets
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Sex-linked Disorders
Acute Pyelonephritis II: Diagnostic Studies and Management
Tonsillitis II: Management
Transmission Electron Microscopy

