PEDIATRICS Vol. 96 No. 6 December 1995, pp. 1163-1165
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The Progression of Human Papillomavirus Lesions in Sexual Assault Victims

Nancy D. Kellogg MD1 and Juan M. Parra MD, MPH1

1 Department of Pediatrics, Division of General Pediatrics, University of Texas Health Science Center at San Antonio

Human papillomavirus (HPV) infections are seen in up to 15% of adolescents who present to a gynecology clinic.1 Anogenital HPV develops in some adolescents as a result of sexual assault. Sexual sault protocols address detection and follow-up for chlamydia, gonorrhea, syphilis, human immunodeficiency virus (HIV) and hepatitis, 2,3 but follow-up for detection of HPV lesions is not formally addressed. Early detection of HPV lesions is important for treatment and long-term management, because subtypes 6, 10, 11, 16, 18, 31, 33, and 35 have been associated with cervical cancer.4 Although 6 and 11 are the most common subtypes found in condylomata acuminata, types 1, 2, 10, 16, and 18 are also found in anogenital lesions.5

Submitted on October 24, 1994
Accepted on December 27, 1994




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E. Siegfried, J. Rasnick-Conley, S. Cook, C. Leonardi, and J. Monteleone
Human Papillomavirus Screening in Pediatric Victims of Sexual Abuse
Pediatrics, January 1, 1998; 101(1): 43 - 47.
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