 This sexually-transmitted pox-virus causes small, benign skin tumors to
grow on the vulva, which are usually symptomless,but annoying..
The tumors appear as dome-shaped lumps, 1-2 mm in diameter with tiny dimples in their
center, and contain a white, cheese-like material.
Treatment involves scraping off the lesion with a sharp dermal curette, and then
coagulating the oozing base with Monsel's solution or AgNO3 sticks and applying direct
pressure. Cryosurgery is also effective, as is the application of trichloracetic or
bichloracetic acid directly to the lesion (taking care not to disturb the surrounding
normal skin.) Using local anesthetic, electrocautery may also be used.
 Left alone, they will generally resolve spontaneously after 6-12 months, but the
patient remains contagious for as long as she has them.
Military
Obstetrics & Gynecology
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