Human immunodeficiency virus (HIV), human papillomavirus (HPV), and sexual abuse

Adolescent and pediatric gynecology Pub Date : 1995-09-01 DOI:10.1016/S0932-8610(19)80144-5

J. Brown M.D., M.P.H., S.B. Hauger M.D., F.S. Clare M.D., A.R. Rogers M.D.

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Abstract

Study Objective: To make clinicians aware of the possibility of children being coinfected with human immunodeficiency virus (HIV) and human papillomavirus (HPV) and discuss the clinical dilemmas and legal implications.

Design and Participants: Two illustrative case reports of children simultaneously infected by HIV and HPV and evaluated for sexual abuse.

Setting: The patients were evaluated in the Child Abuse Pediatric Clinic at the Columbia Presbyterian Medical Center, New York City.

Interventions: The patients were treated with topical 5% 5-fluorouracil cream.

Results: Sexual abuse transmission of HIV was strongly suggested in one patient. Sexual abuse transmission of HPV could not be proven in either case.

Conclusions: Genital condyloma may be a clinical manifestation of progressive immunosuppression secondary to vertically or sexually acquired HIV infection in children. Legal issues of children with sexually transmitted diseases need to be addressed in the future.

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人类免疫缺陷病毒(HIV)、人类乳头瘤病毒(HPV)和性虐待

研究目的:使临床医生认识到儿童同时感染人类免疫缺陷病毒(HIV)和人乳头瘤病毒(HPV)的可能性，并探讨其临床困境和法律意义。设计和参与者:两个儿童同时感染艾滋病毒和人乳头瘤病毒并评估性虐待的说明性病例报告。环境:在纽约市哥伦比亚长老会医疗中心的儿童虐待儿科诊所对患者进行评估。干预措施:患者局部应用5% 5-氟尿嘧啶乳膏治疗。结果:1例患者有明显的HIV性传播倾向。在这两种情况下，HPV的性虐待传播都无法证明。结论:生殖器尖锐湿疣可能是儿童纵向或性获得性HIV感染后继发的进行性免疫抑制的临床表现。今后需要解决患有性传播疾病儿童的法律问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Adolescent and pediatric gynecology

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