H. M. Ozdemir, A. T. Ergonen, I. C. Ozgur, B. Baykara, Y. Ozturk
Abstract: It is necessary to determine whether anogenital verrucae in childhood are sexually transmitted. Condyloma
acuminatum is a HPV infection which leads to anogenital verrucae. Although it is sexually transmitted, the disease is known to be
transmitted through other ways. The aim of this study was to make a medicolegal evaluation of a child brought to the paediatric
outpatient clinic for encopresis, to discuss the importance of verrucae as a sign of sexual abuse and to emphasize the role of
interdisciplinary cooperation in diagnosis of sexual abuse.
A fifteen-year-old boy was examined for lack of appetite and encopresis lasting since young ages in the paediatric
outpatient clinic in Dokuz EylĂĽl University Hospital. The dermatologist detected many hyperkeratic papules in the perianal
region pink in colour or of the same colour as the skin. Biopsy showed genital verrucae. The boy was prescribed appropriate
treatment and sent to our department for consultation about sexual abuse. The first evaluation made in the Department of
Paediatric Psychiatry did not reveal a history of sexual abuse, but the child is still being followed.
It can be recommended that children diagnosed with anogenital condyloma acuminatum should be followed by a multidisciplinary
team to determine how it was transmitted. Keywords: sexual abuse, children and condyloma acuminatum
