the Diagnosis of Anogenital Warts vs. Viral Warts - Dermatology

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Diagnosis of warts?


Hello, doctor.
Typically, if warts are located at the base of the penis, would the diagnosis be A630 Anogenital (venereal) warts or B079 Viral wart, unspecified? After undergoing cryotherapy, the lesion fell off within a week.
The doctor did not mention condyloma but only indicated a viral infection, and the diagnosis was also recorded as B079 Viral wart, unspecified.
Does this mean the doctor believes it is not condyloma? Thank you for your response.

Ponnn, 20~29 year old female. Ask Date: 2018/12/16

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to viral warts, you can refer to the article on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52.
Common types of viral warts can be classified into common warts, plantar warts, flat warts, or genital warts (commonly referred to as "cauliflower").
It is important to primarily rely on clinical descriptions, as diagnosis codes alone may not be sufficient for determination.
Thank you!

Reply Date: 2018/12/16

More Info


When it comes to differentiating between anogenital warts and viral warts, it is essential to understand the underlying causes, clinical presentations, and the implications of these diagnoses. Anogenital warts, also known as condylomata acuminata, are primarily caused by certain strains of the human papillomavirus (HPV), particularly types 6 and 11. These warts typically appear in the genital and anal regions and can be transmitted through sexual contact. On the other hand, viral warts, which can occur on various parts of the body, are usually caused by different HPV strains, such as types 1, 2, and 4.

In your case, the diagnosis of "A630 Anogenital (venereal) warts" would indicate that the physician suspects the presence of HPV strains associated with genital warts. If the diagnosis is recorded as "B079 Viral wart, unspecified," it suggests that the physician did not specifically identify the wart as anogenital or did not confirm the presence of HPV types associated with anogenital warts. This could imply that the physician either did not have enough information to make a definitive diagnosis or that the wart was not typical of anogenital warts.

The fact that the wart responded to cryotherapy (freezing treatment) and fell off within a week is a positive sign, as many warts, including anogenital warts, can be effectively treated with this method. However, the absence of a clear diagnosis of condylomata acuminata does not rule out the possibility of HPV infection. It is important to note that HPV can remain dormant in the body, and not all infections lead to visible warts.

If you are concerned about the possibility of having anogenital warts or HPV, it is advisable to follow up with your healthcare provider for further evaluation. They may recommend additional testing, such as an HPV test, to determine the specific strain of the virus if necessary. Regular screenings and open communication with sexual partners about HPV status can also help manage risks associated with HPV transmission.

In summary, while the diagnosis of "B079 Viral wart, unspecified" may indicate that the physician did not classify the wart as anogenital, it does not necessarily mean that there is no HPV infection. The distinction between anogenital warts and other viral warts is crucial for appropriate management and treatment. If you have further concerns or experience any new symptoms, seeking medical advice is essential for your health and peace of mind.

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