Human papillomavirus (warts)
Superficial cutaneous infection with human papillomavirus (HPV) occurs with increased frequency in immunosuppressed patients. The warts seldom cause symptoms, except when on the soles of the feet and around the fingernails.
Relapse of warts after treatment is common, especially in advanced HIV disease. Liquid nitrogen cryotherapy can be applied every 2 to 4 weeks. Topical “anti-wart” medications containing salicylic and lactic acids are applied daily under occlusion and may lead to complete disappearance of the lesions. The treatment outlook for warts is poor in immunosuppressed patients. Generic Zithromax
Topical treatment of genital warts with podophyllin or trichloroacetic acid may be applied weekly for 6 to 10 weeks. Liquid nitrogen freezing has a slightly greater response rate. Recurrence is almost universal. discount pills store
The presence of external genital warts in women and perirectal warts in homosexual or bisexual men is usually associated with internal warts. Pelvic examination, Pap smear, and colposcopy are recommended in women, and anoscopy in men.