Annals of Coloproctology

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Association of Immune Status with Recurrent Anal Condylomata in Human Immunodeficiency Virus-Positive Patients: Ji Hyun Sung, Eun Jung Ahn, Heung-Kwon Oh, Sei Hyeog Park; J Korean Soc Coloproctol. 2012;28(6):294-298. Published online December 31, 2012; DOI: https://doi.org/10.3393/jksc.2012.28.6.294

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Purpose

An anal condyloma is a proliferative disease of the genital epithelium caused by the human papillomavirus. This condition is most commonly seen in male homosexuals and is frequently recurrent. Some reports have suggested that immunosuppression is a risk factor for recurrence of a condyloma. Thus, we investigated the risk factors for a recurrent anal condyloma in human immunodeficiency virus (HIV)-positive patients.

Methods

We retrospectively analyzed 85 consecutive patients who were diagnosed with and underwent surgery for an anal condyloma from January 2007 to December 2011. Outcomes were analyzed based clinical and immunologic data.

Results

Recurrent anal condylomata were found in 25 patients (29.4%). Ten cases (40.0%) were within postoperative 3 months. At postoperative 6 months, the CD4 lymphocyte count in the recurrent group was lower than it was in the nonrecurrent group (P = 0.023).

Conclusion

CD4-mediated immunosuppression is a risk factor for recurrent anal condylomata in HIV-positive patients.

Citations

Citations to this article as recorded by

Easier Matching But More Contractions: Smartphone Usage, Dating Behavior and the Spread of Sexually Transmitted Infections
Dirk Bethmann, Jae Il Cho, Yiming Du
Atlantic Economic Journal.2026; 54(1): 39. CrossRef
Effectiveness of physically ablative and pharmacological treatments for anal condyloma in HIV-infected men
Sandra Vela, Sebastian Videla, Arelly Ornelas, Boris Revollo, Bonaventura Clotet, Guillem Sirera, Marta Piñol, Francesc García-Cuyás, Magdalena Grce
PLOS ONE.2018; 13(8): e0199033. CrossRef
Efficacy of fulguration combined with imiquimod cream on condyloma acuminatum, and the effect on immune functions and serums levels of IL-2 and IL-10
Quan Chen, Ridong Yang, Aili Gao, Daoqing Zhong, Huilan Zhu
Experimental and Therapeutic Medicine.2017; 14(1): 131. CrossRef
Association of HIV Infection With Anal and Penile Low-Risk Human Papillomavirus Infections Among Men Who Have Sex With Men in Amsterdam
Camiel A.H. Welling, Sofie H. Mooij, Marianne A.B. van der Sande, Martijn S. van Rooijen, Wilma F. Vermeulen-Oost, Audrey J. King, Arne van Eeden, Daniëlle A.M. Heideman, Ineke G. Stolte, Maarten F. Schim van der Loeff
Sexually Transmitted Diseases.2015; 42(6): 297. CrossRef
Condylomes anaux dégénérés. A propos de 13 cas
R. Lalej, S. Nadir, W. Hliwa, F. Haddad, W. Badre, A. Bellabah, R. Alaoui
Journal Africain d'Hépato-Gastroentérologie.2013; 7(4): 196. CrossRef

Benign Anal Diseases on Patients with HIV Disease.: Hwang, Do Yeon , Lee, Joo Shil , Yoon, Seo Gue , Rhyou, Jai Hyun , Song, Seok Gyu , Lee, Jong Kyun; J Korean Soc Coloproctol. 2003;19(1):1-5.

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Abstract PDF: PURPOSE
The number of patients with HIV disease has been increasing rapidly, with anorectal discomfort being the most common complaint of these patients. However, there are no data on HIV disease relating to the benign anorectal area in Koreans.
METHODS
A retrospective chart review was performed on patients diagnosed with benign anal diseases, combined with HIV disease, between 1996 and 2001. Their clinical aspects were compared with HIV patients registered with the National Institute of Health in Korea between 1985 and 2001.
RESULTS
A total of 1,613 patients were registered, with the National Institute of Health in Korea, as having HIV disease. The ratio of sex was 7.2:1, with a male predominance. The disease was most common in the 3rd & 4th decades, with 64.2%, of the patients in this age range. As for the routes of transmission, sexual contact was the most common (96.9%), followed by blood transfusion (including blood products) (2.8%), vertical transmission (0.1%) and drug injection (0.1%). With regard to the sexual contact routes, homosexuality accounted for 28.0%. Of the cases of HIV disease presenting with a benign anal disease, 32 patients, with a sex ratio of 31:1, with an overwhelming male predominance, were selected. Twenty-six cases had been newly diagnosed at our hospital. As for the routes of the transmission, the disease had been transmitted by sexual contact in all cases. In 43.8% of these cases, the disease had been transmitted by homosexual contact, which showed a marked difference to that of the National database (P<0.05). For those associated with an anal diseases, there were 10 cases of anal fistula, 9 of perianal abscess, 7 of condyloma acuminata, 7 of anal fissure, 5 of hemorrhoids and 2 of ulceration on the lower rectum, noted.
CONCLUSIONS
Nowadays, the numbers of anorectal-disease patients with HIV are increasing in Korea. Since HIV is common in the area of benign proctology, all proctologists must consider the possibility of HIV when managing patients.

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