Debunking the biggest lie about genital warts”

　　Lie 1: Fixed drug rash is not genital warts

　　Confidant: Wen Yu, a 26-year-old company employee

　　On May Day this year, Gao Shan and I stepped onto the red carpet of happiness. I thought we could hold hands until the end of the world, but what I didn't expect was that just after two weeks of living together, we had the most intense quarrel.

　　What happened was this: When he got up the morning before yesterday, Gao Shan suddenly discovered that his penis was skin A red spot appeared on my skin and I felt burning and mild pain. I just looked at it and couldn't help crying. The monk who was so tall that I made him two feet tall was confused and kept asking me what was wrong.

　　I choked and said, "You did some shameful things outside, and you still pretended to be okay and asked me why?”

　　Gao Shan was even more confused: "What have I done to me?”

　　Seeing his confused look, I gritted my teeth angrily: "How could you get it if you didn't do anything?" sexually transmitted diseases ?You sanctimonious guy!”

　　Gao Shan also became anxious: "Why are you so slanderous! I, Gao Shan, am not that kind of person at all. I will never do anything to feel sorry for you, nor will I get that kind of disease! I swear to God!”

　　“If you say no, then it’s not true? You’re not a doctor. ”

　　Before I could finish my words, Gao Shan stood up and pulled me out: "Let's go now." Hospital!”

　　We called the expert, and the doctor inquired about the situation in detail, examined Gao Shan, and then issued a test order, asking Gao Shan to do a serological test for syphilis, and told us that the results would be available in three days. Those three days were like years. We were like strangers living under the same roof. The deserted atmosphere was breathless.

　　Today, Gao Shan and I came to the hospital early in the morning and showed the test results to the doctor. The doctor told us that the results were negative, and then asked Gao Shan if he had taken any medicine recently. Gao Shan thought for a while and said to the doctor: "Because I was busy preparing for the wedding, I got angry and had a severe sore throat, so I just took some anti-inflammatory drugs, it seemed to be cotrimoxazole, which I had never taken before. ”

　　The doctor nodded, and then said to Gao Shan: "Your disease is a fixed drug rash caused by cotrimoxazole, not a sexually transmitted disease. ”

　　The doctor prescribed medicine to Gao Shan and told him some things, but I couldn't listen at all. I was thinking, what should I do to get back to the past with Gao Shan?

　　Doctor’s comment: Fixed drug rash is a common type of drug-induced dermatitis. The rash is a round or oval purple-red spot with clear borders, as big as the little finger to the thumb. It is usually a single one, but a few can be multiple. In severe cases, the erythema can cause blisters. There will be pigmentation after recovery, and the pigment will deepen with the increase in the number of attacks, and may persist for a long time. The symptoms of patients are generally mild, and in patients with severe inflammation, burning pain will be obvious when blisters and erosion occur. Rashes are most common at the junction of skin and mucous membranes such as the lips, glans, anus, etc. It can also occur on the backs of hands, feet, and trunk.

　　clinical Some commonly used drugs, such as sulfonamides such as cotrimoxazole, antipyretics and analgesics such as aspirin, painkillers, and indomethacin, and sedative-hypnotic drugs such as diazepam, can all lead to the occurrence of this disease. Moreover, the disease has nothing to do with the dose of the drug. Some patients in a sensitive state may develop drug rash even if the dose used is very small.

　　The treatment of fixed drug eruption is relatively simple, and the following measures can be adopted: ① stop using all suspicious drugs; ② apply antihistamine drugs; ③ corticosteroids can be used in severe cases. After such treatment, the rash will gradually heal without using drugs of the same or similar structure.

　　Lie 2: Pearly rash on penis is not genital warts

　　Confidant: Wang Hong, a 25-year-old civil servant

　　On the wedding night, after sending away all the relatives and friends who were having a wedding party, Huiyan took me to the bed and kissed me wildly, while he started to undress me. It’s been three years and we haven’t gone too far, just to make this first night live up to its name. In my shyness, I witnessed the naked body of an adult man for the first time. He was handsome, slender and full of vitality. I felt my blood boiling, Huiyan's breathing became rapid, and we quickly became one.

　　When I woke up the next morning, Hui Yan was still sleeping soundly. I kissed his forehead gently and restlessly touched his body with my hands. His little brother also became naughty and hard under my touch. I looked carefully and suddenly found a few pimples the size of pins in the ditch.

　　Isn't it a sexually transmitted disease? Is this what genital warts look like? I was just thinking about it when Huiyan suddenly opened her eyes. Eye , said: "Honey, why don't you touch it? It feels so comfortable!"”

　　It turns out he woke up early! I punched him in the chest and said, "How about we go to the hospital?"”

　　“Okay, which hospital should we go to?" Huiyan said, moving her hands and feet.

　　I pushed him away and said, "You have a little pimple in that place. It's better to go and have a look. Don't worry. ”

　　“This is what you're talking about. I've had it for a long time. It's not painful or itchy. I didn't take it seriously at all. ”

　　Suddenly he looked at me and said, "Don't you doubt me?……”

　　I interrupted him and said aggrievedly: "People care about you well, but you still……”

　　Huiyan quickly put me in her arms and said, "Don't cry, don't cry, I'm just kidding, can't I just go?"”

　　After examination, the doctor told us that this is called pearly rash of penis, which is a variation of physiological development that will not have any impact on the body or sexual function and does not require treatment. As we walked out of the hospital door hugging each other, the sun shone warmly on us, and our moods were as bright as the sun.

　　Doctor comments: Pearly papules on penis are male A more common type after puberty disease , it is more common in young adults aged 20 to 40 years old. Because it is not painful or itchy, and feels nothing, it is often discovered accidentally when taking a bath.

　　At present, the cause of pearly papules on the penis is not yet clear. However, men with long foreskin are more likely to develop the disease. The reason may be related to the stimulation of local secretions and smegma.

　　The clinical manifestations of penile pearly papules have some similarities with genital warts, and they are often mistaken for genital warts. Therefore, they need to be differentiated from genital warts.

　　The key point of differential diagnosis is that the skin damage of penile pearly papules is limited to the edge of the glans, and the number of lesions is larger. They are pearly milky white papules with a smooth surface. The lesions do not increase as the course of the disease extends, and the acetic acid white test is negative; while the skin lesions of condyloma acuminata are not limited to the edge of the glans. They are mostly single and scattered, the lesions are larger, the surface is not smooth, and they are mostly cauliflower-shaped. They gradually increase in size as the disease progresses, the acetic acid white test is positive, and histopathological examination shows hollow cells.

　　Penile pearly papules are a benign condition that may last for a certain period of time and then subside in some people, while others may last for decades without any change.

　　Pearly papules on penis are not contagious and do not cause any problems healthy , so no treatment is needed, but in order to avoid aggravation of the condition, patients should pay attention to local hygiene and develop a good habit of cleaning every day.

　　Lie 3: Pseudocondyloma is not genital warts

　　Confidant: Xiaopan, a 19-year-old student

　　Sitting in the waiting hall of the hospital, holding the specialist number in my hand, I didn't have the courage to walk into the consulting room very close to me.

　　Before yesterday afternoon, I was still a happy college student, but now I have a death wish. The sudden "venereal disease" made me fall into the abyss of pain and almost lost the courage to live. After class yesterday afternoon, my friend took me to play table tennis. After I had a good time, I went to the bathhouse to take a bath. Suddenly I found a few small pimples growing there, which made my heart skip a beat.

　　In the evening, after my roommates all went out, I took a small mirror and looked carefully. I found some red spots with some long and slender protrusions. I became even more nervous. I kept checking the Internet for information. The more I looked at it, the more I thought it looked like genital warts. I couldn't help crying.

　　I have always been an obedient and good boy since I was a child. Although I had a boyfriend and had sex with each other, I always adhered to the last line of defense. How could I contract a sexually transmitted disease? But the information also said that sexually transmitted diseases are not all transmitted through sexual life! Fear surrounded me, I had a splitting headache and couldn't figure it out. Finally, I decided to go to the hospital to ask a doctor to check and make a diagnosis.

　　Time slipped away quietly in my hesitation. Seeing that the doctor was about to leave work, I said to myself, if it was really genital warts, I would die to prove my innocence, and then walked into the consulting room. After listening to my story, the doctor asked me to lie down on the examination bed, looked at it carefully, and gave me an acetic acid white test. Then he told me that I had pseudocondyloma, which is easily confused with genital warts. It is not a sexually transmitted disease, is not contagious, and does not require treatment.

　　At that moment, I cried with joy. I knew that I was alive again.

　　Doctor's comment: Vulvar pseudocondyloma is a benign papilloma, and its cause is still unclear. Pseudocondyloma is easily misdiagnosed as genital warts and needs to be differentiated from genital warts. It can be identified from the following points:

　　①Damage site: Pseudocondyloma mainly occurs on the inner side of the labia minora on both sides, and often occurs symmetrically; condyloma acuminata mainly occurs in the vaginal opening and other parts, and can occur in multiple places and is asymmetrical.

　　②Damage characteristics: Pseudocondyloma lesions are caviar, papillary, and villous, with a smooth surface, clustered distribution, and do not merge with each other, and have no tendency to increase over time; condyloma acuminata are mostly cauliflower-shaped, papule-shaped, with uneven surfaces, single or multiple, and can merge with each other. Frictional lesions are easy to bleed. As time goes by, the lesions gradually increase and increase.

　　③Acetowhite test: The acetowhite test for pseudogenital warts is negative, while for genital warts, it is positive.

　　④HPV testing: Most of the HPV tests in the lesions of pseudogenital warts are negative, while most of the HPV tests in genital warts are positive.

　　⑤Histopathology.

　　Generally speaking, vulvar pseudocondyloma does not require treatment, but certain factors that may cause or aggravate pseudocondyloma should be looked for, such as fungal or trichomonal infections. Vaginitis Infections should be treated promptly. Poor local hygiene, moisture, friction and other irritations can also aggravate the disease. Therefore, the local skin should be kept clean and dry to reduce irritation to the local skin. If the patient requests it, cryotherapy, laser therapy or topical drug therapy can be used to remove the diseased tissue, but it may recur after removal.