中华皮肤科杂志 ›› 2009, Vol. 42 ›› Issue (5): 303-304.

• 论著 • 上一篇    下一篇

临床表现为假性湿疣的高危型HPV感染

徐娟1,王京2,陆学东2,贺勤3   

  1. 1. 深圳市福田人民医院
    2. 深圳市第四人民医院皮肤科
    3. 深圳市福田区人民医院皮肤科
  • 收稿日期:2008-11-12 修回日期:2009-01-13 出版日期:2009-05-15 发布日期:2009-05-13
  • 通讯作者: 徐娟

High-risk human papillomaviral infection characterized by pseudocondyloma of vulvae

  • Received:2008-11-12 Revised:2009-01-13 Online:2009-05-15 Published:2009-05-13

摘要:

目的 探讨12例临床表现酷似假性湿疣的HPV感染的临床及HPV分型特点。方法 检测 12例有非婚性接触史临床表现为外阴假性湿疣的女患者,以反向杂交法检测活检或局部刮除物中HPV核酸扩增并分型。结果 12例HPV全部阳性,12例患者中共查出13种HPV亚型,其中3种低危型11、42、43,10种高危型16、18、31、33、35、39、51、52、58、59。每例患者至少有1种以上高危HPV亚型。4例患者为1种HPV亚型的感染,6例患者为2种HPV亚型的感染,另有两例分别有3或4种HPV亚型的感染。结论 在临床表现为假性湿疣患者中有可能包含高危型HPV的感染。

关键词: 假性湿疣;尖锐湿疣;高危HPV

Abstract:

Objective To investigate the clinical features and human papillomavirus (HPV) types in 12 cases of HPV infection characterized by pseudocondyloma of vulvae. Methods Twelve women, who had a history of sexual behavior with non-spouses and presented with pseudocondyloma of vulvae, were included in this study. Tissue specimens were scraped or resected from the lesions of pseudocondyloma of vulvae. PCR-based reverse hybridization assay was performed to determine the genotypes of HPV. Results All the 12 specimens were HPV positive. The reverse hybridization assay generated 13 subgenotypes of HPV, including 3 low-risk genotypes (11, 42 and 43) and 10 high-risk genotypes (16, 18, 31, 33, 35, 39, 51, 52, 58 and 59). All the patients were found to be infected by at least one high-risk genotype. Of the 12 patients, 4 were infected by single type of HPV, 6 by 2 types of HPV, and 2 by 3 or 4 genotypes of HPV. Conclusion The patients characterized by pseudocondyloma of vulvae may suffer from high-risk HPV infection.