The papilloma virus is widely known for its dangerous properties and ability cause various severe diseases in humans. Some of the varieties of this virus are sexually transmitted and provoke papulosis, which is a precancerous skin condition. Not so long ago, bowenoid papulosis was considered an infrequent form of Bowen's disease, but now the diagnostic possibilities have expanded, the relationship of papulosis with papillomavirus has been determined, and it has been found that the disease occurs much more often than previously thought.
How papulosis manifests itself: the main symptoms
Bovenoid papulosis is caused by several types of papillomavirus, including those responsible for warts and genital warts in humans. Papulosis is sexually transmitted, it can be contracted through any form of sexual contact. The incubation period for papulosis can last several years, although it most often appears about three months after infection.
Papulosis is usually manifested by different types of rashes – these may be red erymatous macules, warty pigmented papules of a yellowish, pink or purple hue, lichenoid papules of dense skin with an increased skin pattern, and plaques resembling leukoplakia. Usually, all these rashes do not cause subjective sensations in patients, only sometimes there is a slight itch, and with inflammation of the papules – the patient complains of soreness.
Skin manifestations of papulosis are localized in the perineum, on the inner side of the thighs, on the genitals and in the perianal zone, on the mucosa in the oral cavity. Rashes can be multiple or appear as single plaques, look large or almost punctate, pigmented papules are more common on the skin of the genitals, and on the mucous membranes – lichenoid.
Features of papulosis treatment, taking into account possible complications
The features of the treatment of papulosis are dictated by the likelihood of a transition to a malignant state. A patient with bowenoid papulosis is necessarily under the control of not only a venereologist, but also a dermatologist and an oncologist, especially since the disease often recurs even after the complete disappearance of clinical manifestations, and even adequate complex treatment is not always effective enough. It also happens that papulosis does not progress for a long time, often has periods of spontaneous remissions and even sometimes resolves on its own.
Local treatment of affected areas of skin with papulosis consists in the application of cytostatics (for example, prospidin) and is necessarily accompanied by a general course of antiviral therapy. In the presence of large elements, they are removed using laser therapy, & nbsp; cryodestruction, electrocoagulation.
Treatment of papulosis is complicated by the fact that this disease is often combined with multiple warts and genital warts, and in women – with cervical dysplasia. There is always the possibility of degeneration of papulosis elements into squamous cell carcinoma, into malignant tumors of the vulva, penis. Therefore, patients with papulosis should be regularly examined even after the end of treatment.
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