Abstract

In Reply.— The letter by Drs Gordon and Palusci expresses concern about finding HPV 16 in a nongenital site. They ask whether HPV 16 in condylomata acuminata could be transferred by nonsexual transmission. Human papillomavirus 16 is rarely associated with condylomata acuminata. We have analyzed more than 100 such lesions of the vulva and penis and have never found HPV 16; HPVs 6 and 11 are found in more than 90% of these lesions. 1 We do not believe that the detection of HPV 16 in finger carcinomas per se has any direct implications in the reporting, diagnosis, or investigation of child sexual abuse. Human papillomaviruses 6 and 11 are the most common types in genital condylomata in children. 2,3 Further, it is possible that the HPV 16 in these finger lesions (all in adults) was transmitted by sexual means. Our observation that HPV 16 is not associated with skin

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