The patient, a 70-year-old man, arrived at the hospital on 22/3 with lesions spreading across his perianal region. After a comprehensive evaluation and expert consultation, he was diagnosed with genital warts. Treatment involved CO2 laser to remove the lesions, followed by wound care at the hospital. Three days later, the treated area was dry and clean, with no discharge or bleeding. The patient received instructions for regular follow-up appointments to monitor and detect any recurrence.
Dr. Nguyen Mau Trang, from the Department of Laser and Skin Care at the National Hospital of Dermatology and Venereology, oversaw the patient's initial care. Dr. Vu Huy Luong, Head of the Department of Laser and Skin Care, noted that the patient's self-medication with topical creams likely contributed to the lesions spreading. Certain unverified topical medications, especially those containing corticosteroids, can suppress local immunity, allowing the human papillomavirus (HPV) to proliferate. Additionally, the natural immune system often weakens in older adults, making them more susceptible to the progression and spread of lesions compared to younger individuals.
Treating perianal genital warts presents a challenge due to the area's moisture, susceptibility to infection, and high recurrence risk. Effective treatment requires experienced doctors and appropriate equipment to thoroughly remove lesions and minimize complications.
Genital warts are a common sexually transmitted infection caused by HPV, affecting people of all ages. Many patients often delay seeking medical attention or attempt self-treatment when lesions are minor, leading to wider spread and more complex treatment. Therefore, individuals experiencing abnormal signs in the genital or anal areas, such as papules, lesions, itching, or bleeding, should consult a reputable specialized medical facility for timely examination and treatment. Early detection and proper management not only enhance treatment effectiveness but also reduce the risk of transmission to others.
Le Nga