CASE REPORT

Condyloma acuminatum in a 62-year-old patient with HIV infection

Anak Agung Gde Putra Wiraguna , Ni Made Dwi Puspawati

Anak Agung Gde Putra Wiraguna
Dermatology and Venereology Department, Faculty of Medicine, Universitas Udayana-Sanglah General Hospital, Bali-Indonesia. Email: [email protected]

Ni Made Dwi Puspawati
Dermatology and Venereology Department, Faculty of Medicine, Universitas Udayana-Sanglah General Hospital, Bali-Indonesia
Online First: February 02, 2020 | Cite this Article
Wiraguna, A., Puspawati, N. 2020. Condyloma acuminatum in a 62-year-old patient with HIV infection. Bali Medical Journal 9(1): 91-94. DOI:10.15562/bmj.v9i1.1652


Introduction: Condyloma acuminatum is caused by infection from Human Papilloma Virus (HPV), mostly found in the perineum and genital area. Therefore HPV infection is the most common sexually transmitted infection in the world. Infection often occurs in patients with a decreased immune system, such as Human Immunodeficiency Virus (HIV) infection.

Case: A 62-year-old man was diagnosed with condyloma acuminatum in the penis and accompanied by stage IV HIV infection. CD4 + count is 23 cells/μL. Patients were given electric surgical therapy and 80% TCA. After receiving 8 treatments in 3 months, there was no significant improvement.

Discussion: There are several therapeutic modalities in the management of condyloma acuminatum. Some considerations in the selection of condyloma acuminatum therapy include size, number, anatomic location of the lesion, patient comfort, side effects and the experience of the doctor in charge. The immune system plays an important role in the successful treatment of HPV infections. The risk of persistence, recurrence, and malignant transformation can increase with the decrease in the immune system by HIV infection as measured by CD4 + counts. In this case, more aggressive treatment will be needed and immunomodulators can be given to increase the success of the therapy.

Conclusion: Host immune status has a significant impact on the course of HPV disease and response to treatment. HIV patients have an increased risk of HPV infection, with an increase in the duration and persistence of the disease and thus require aggressive therapy.

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