Clinical features and psychological evaluation of perianal and rectal condyloma acuminatum of 64 men with human immunodeficiency virus infection who have sex with men

Abstract

Objective To investigate the clinical characteristics and psychological status of perianal and rectal condyloma acuminatum (CA) of men with human immunodeficiency virus (HIV) infection who had sex with men (MSM). Methods The clinical characteristics of 64 MSM patients with HIV infection and perianal rectal CA in Sichuan Intercontinental Hospital of Proctology and Gastroenterology from July 2015 to June 2017 were analyzed, and all patients received the Symptom Checklist (SCL-90) scale for psychological assessment. Results Among the MSM patients with HIV infection, perianal and rectal CA mainly occured in patients of 18-45 years old (61 cases, 84.72%), and 47 cases (73.44%) had a college degree. There were 56 cases (87.50%) with classical CA and 8 cases (12.50%) with flat type CA. The positive rate of HPV detection was 81.25% (52 cases, 52/64), and HPV11 was the main subtype (50.00%, 26/52). SCL-90 scale psychological assessment showed that negative mental emotional patients were 59 cases (92.19%), mainly manifested in depression of 48 cases (75%) and anxiety of 7 cases (10.94%). Conclusions Young adults are the main crowd of perianal and rectal CA among HIV infected MSM patients. The most common type was classical CA, and their psychological status were mainly depression and anxiety. Key words: Human immunodeficiency virus; Men who have sex with men; Perianal and rectal condyloma acuminatum; Clinical characteristics; Symptom check list 90 table; Psychological evaluation