Condyloma acuminata: an unusual presentation of child abuse

Condyloma acuminata seen in childhood is a disease not well recognized as a sign of child abuse. These viral lesions are often diagnosed and treated without regard to their venereal mode of transmission. Four infants and children with condyloma acuminata ranging in age from 14 mo to 11 yr required surgical management. Two required multiple procedures for control of the lesions. Indications for surgical treatment include large, recurrent, or refractory lesions, as well as the need for histologic identification and acquiring tissue for immunotherapy when necessary. The follow-up care is often difficult because of the socioeconomic structure of the involved families. Careful and persistent medical and social care is necessary to adequately treat the disease and remove the source of infection and to protect children from sexual abuse.