Is It Inflammation or HPV Warts? Ear, Nose, and Throat Issues - Otolaryngology

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Is it inflammation? Is it a cauliflower?


I have raised white spots that are painful to touch.
Initially, it was just a line that looked like a blood vessel.
I've been experiencing pain for about 4 to 5 days and thought it might be from biting something.
I asked my dentist during a cleaning, and they suggested it could be from biting something, and that it was just a raised white spot that is painful.
A couple of years ago, I had some HPV lesions in other areas that were treated with electrocautery, and I haven't noticed any issues since then.
I currently have a steady partner, and we practice safe protection, but kissing cannot be protected.
Could you please help me understand what the issue might be? Thank you for your response, doctor.

Mr. Yan, 30~39 year old female. Ask Date: 2016/08/31

Dr. Ji Zhaoyun reply Otolaryngology


Dear Mr.
Yan,
Based on your description and the images, there appears to be granulation tissue and leukoplakia (though the resolution of the images is quite limited).
It is recommended that you consult an otolaryngologist.
Depending on the situation, a biopsy or medication may be advisable.

Wishing you safety and health.

Sincerely,
Dr.
Chi Chao-Yun
Director, Department of Otolaryngology
Taichung Hospital, Ministry of Health and Welfare

Reply Date: 2016/08/31

More Info


When it comes to understanding the complexities of HPV (Human Papillomavirus) infections and their implications, particularly in relation to inflammation and warts, it's essential to consider several factors. HPV is a group of more than 200 related viruses, with some types being classified as high-risk due to their association with various cancers, including cervical cancer. Others can cause benign conditions such as warts, including genital warts.

From your description, it sounds like you are experiencing a painful white bump in your mouth, which initially resembled a blood vessel and has been tender for several days. This could potentially be a manifestation of several conditions, including HPV-related lesions or other forms of oral inflammation.
1. Differentiating Between HPV Warts and Inflammation:
- HPV warts, particularly those in the oral cavity, can appear as small, raised lesions that may be white or flesh-colored. They can be painful, especially if they are irritated or traumatized (for example, by biting or brushing).

- Inflammation in the mouth can also present as painful lesions, which may be due to various causes such as trauma, infection, or even autoimmune conditions. Conditions like oral thrush or canker sores can also cause painful white lesions.

2. The Role of HPV:
- If you have a history of HPV and have previously had lesions treated, it is possible that the current bump could be related to HPV, especially if it resembles previous lesions. However, not all oral lesions are caused by HPV.
- It's important to note that while HPV can be transmitted through skin-to-skin contact, including oral sex, the risk of transmission through kissing is generally lower. However, it is not zero, especially if there are active lesions present.

3. Diagnosis and Treatment:
- To accurately diagnose the nature of the bump, a visit to a healthcare provider is essential. They may perform a visual examination and, if necessary, a biopsy to determine if the lesion is indeed caused by HPV or another condition.

- Treatment options vary depending on the diagnosis. If it is an HPV wart, treatments may include topical medications, cryotherapy, or laser therapy. If it is an inflammatory lesion, treatment may involve topical steroids or other anti-inflammatory medications.

4. Preventive Measures:
- Since you mentioned having a fixed partner and practicing safe sex, this is a good step in reducing the risk of HPV transmission. Additionally, vaccination against HPV can significantly lower the risk of developing HPV-related cancers and warts.

- Regular dental check-ups can also help monitor any changes in your oral health, especially if you have a history of HPV.

5. Follow-Up:
- Given your history of HPV and the current symptoms, it is advisable to follow up with a healthcare provider who can provide a thorough evaluation and appropriate management. They may also recommend regular screenings to monitor for any changes, especially if you have had previous HPV-related issues.

In conclusion, while your symptoms could be related to HPV, they could also stem from other causes. A healthcare professional's evaluation is crucial for an accurate diagnosis and effective treatment plan. Regular monitoring and preventive measures, including vaccination and safe sexual practices, are key components in managing HPV-related health concerns.

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