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Table 41-1

Differential Diagnosis for Condylomata Acuminata

ConditionDiagnostic characteristics
Condyloma latum (syphilis)Broad-based smooth papules; test with RPR, VDRL, MHA-TP, or FTA-ABS
Common skin lesionsSeborrheic keratoses, nevi, angiomas, skin tags, and pearly penile papules
NeoplasmsVIN or VAIN, bowenoid papulosis, and malignant melanoma
Buschke-Löwenstein tumor (i.e., giant condyloma)Low-grade, locally invasive malignancy; appears as a fungating condyloma
Molluscum contagiosumWaxy, umbilicated papules

FTA-ABS, fluorescent treponemal antibody absorption test; MHA-TP, microhemagglutination assay–Treponema pallidum; VAIN, vaginal intraepithelial neoplasm; VDRL, Venereal Disease Research Laboratory test; VIN, vaginal intraepithelial neoplasia.