J. Brown M.D., M.P.H., S.B. Hauger M.D., F.S. Clare M.D., A.R. Rogers M.D.
{"title":"人类免疫缺陷病毒(HIV)、人类乳头瘤病毒(HPV)和性虐待","authors":"J. Brown M.D., M.P.H., S.B. Hauger M.D., F.S. Clare M.D., A.R. Rogers M.D.","doi":"10.1016/S0932-8610(19)80144-5","DOIUrl":null,"url":null,"abstract":"<div><p><em>Study Objective:</em> 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.</p><p><em>Design and Participants:</em> Two illustrative case reports of children simultaneously infected by HIV and HPV and evaluated for sexual abuse.</p><p><em>Setting:</em> The patients were evaluated in the Child Abuse Pediatric Clinic at the Columbia Presbyterian Medical Center, New York City.</p><p><em>Interventions:</em> The patients were treated with topical 5% 5-fluorouracil cream.</p><p><em>Results:</em> Sexual abuse transmission of HIV was strongly suggested in one patient. Sexual abuse transmission of HPV could not be proven in either case.</p><p><em>Conclusions:</em> 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.</p></div>","PeriodicalId":80358,"journal":{"name":"Adolescent and pediatric gynecology","volume":"8 4","pages":"Pages 208-212"},"PeriodicalIF":0.0000,"publicationDate":"1995-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80144-5","citationCount":"0","resultStr":"{\"title\":\"Human immunodeficiency virus (HIV), human papillomavirus (HPV), and sexual abuse\",\"authors\":\"J. Brown M.D., M.P.H., S.B. Hauger M.D., F.S. Clare M.D., A.R. Rogers M.D.\",\"doi\":\"10.1016/S0932-8610(19)80144-5\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><em>Study Objective:</em> 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.</p><p><em>Design and Participants:</em> Two illustrative case reports of children simultaneously infected by HIV and HPV and evaluated for sexual abuse.</p><p><em>Setting:</em> The patients were evaluated in the Child Abuse Pediatric Clinic at the Columbia Presbyterian Medical Center, New York City.</p><p><em>Interventions:</em> The patients were treated with topical 5% 5-fluorouracil cream.</p><p><em>Results:</em> Sexual abuse transmission of HIV was strongly suggested in one patient. Sexual abuse transmission of HPV could not be proven in either case.</p><p><em>Conclusions:</em> 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.</p></div>\",\"PeriodicalId\":80358,\"journal\":{\"name\":\"Adolescent and pediatric gynecology\",\"volume\":\"8 4\",\"pages\":\"Pages 208-212\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"1995-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/S0932-8610(19)80144-5\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Adolescent and pediatric gynecology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0932861019801445\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Adolescent and pediatric gynecology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0932861019801445","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Human immunodeficiency virus (HIV), human papillomavirus (HPV), and sexual abuse
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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