Simultaneous condylomata acuminata and condylomata lata; report of a case.

Abstract

The problem of differential diagnosis arises frequently between condylomata acuminata and comparable lesions of other diseases, especially condylomata lata. A patient treated recently in the Cincinnati General Hospital presented condylomata acuminata and condylomata lata simultaneously. REPORT OF CASE R. S., a 21 year old Negro, was referred to the Cincinnati General Hospital Venereal Disease Clinic because of a positive serological reaction for syphilis and perianal lesions, some of six months' duration and some of 10 days' duration. He had received no previous treatment of any sort. There was a history of pederasty. Physical examination revealed several perianal lesions which in spite of a superficial similarity could be divided into two general groups. One type was verrucous with distinct pedicles (fig. 1A), and the other was papular with the flat eroded surfaces characteristic of condylomata lata (fig. 1L). A tongue blade could be inserted beneath the edges of the