Human Papillomavirus

 HPV infects epithelial cells and causes the cellular proliferation (Eversole, 2000). This is in contrast to the cellular destruction that typically accompanies other viral infections. The increased proliferation caused by HPV can lead to malignant or benign lesions.

HPV-2 and 4 are responsible for skin warts (verruca Vulgaris) and can affect the skin near the mouth, usually presenting as single larger lesions and are not usually infectious (Scully, Epstein, Porter, & Cox, 1991). Surgical removal and biopsy are potential treatments to alleviate any discomfort or hindrance caused by these warts.
      Causes of Anogenital Warts
Anogenital warts (condyloma acuminatum) are caused by HPV-6 and 11 and can be transmitted to oral tissues through oral-genital contact (Ghadishah, 2017). These lesions typically appear as smaller, soft lesions and can remain infectious (Kellokoski, Syrjanen, Syrjanen, & Yliskoski, 1990).
Proper Diagnosis of Anogenital warts
Findings of either skin or anogenital warts in or around the oral cavity do not provide any specific contraindications for treatment. However, identification of these lesions should prompt the practitioner to investigate the history of their appearance, duration, or other complaints with the patient.

Lesions that have persisted for more than two months should be biopsied to check for potential complications. As with other oral infections, these Infections are more likely to occur and reoccur in immunocompromised

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