{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T11:04:48Z","timestamp":1773745488698,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2012,3,21]],"date-time":"2012-03-21T00:00:00Z","timestamp":1332288000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Lluita Contra La SIDA Foundation"},{"name":"Red de Investigaci\u00f3n en SIDA (RIS)"},{"name":"ART AIDS Foundation"},{"DOI":"10.13039\/100005564","name":"Gilead Sciences","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100005564","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Obra Social Caixa Sabadell"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Genital infections with low\u2010risk (<jats:styled-content style=\"fixed-case\">LR<\/jats:styled-content>) and high\u2010risk (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>) human papillomavirus (<jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>) genotypes are associated with ano\u2010genital condylomata and anal squamous cell cancer. <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\u2010related pathologies in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected men are a serious concern. In this study, the prevalence of anal condylomata and their association with cytological abnormalities and <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> infection in the anal canal in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected men [men who have sex with men (<jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content>) and heterosexuals] were estimated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a cross\u2010sectional study based on the first visits of patients in the <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>an <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>uti <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>en (<jats:styled-content style=\"fixed-case\">CARH<\/jats:styled-content>\u00b7<jats:styled-content style=\"fixed-case\">MEN<\/jats:styled-content>) cohort. Anal condylomata were assessed by clinical and proctological examination. Samples from the anal canal were collected for <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> genotyping and cytological diagnoses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 640 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected men (473 <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> and 167 heterosexuals) were included in the study. The overall prevalence of anal condylomata was 25% [157 of 640; 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 21\u201328%]; in <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> it was 28% and in heterosexuals it was 15% [odds ratio (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) 2.2; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.4\u20133.5]. In patients with anal condylomata, <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> infection in the anal canal was more prevalent (92% <jats:italic>vs.<\/jats:italic> 67% in those without anal condylomata; <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 8.5; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.2\u201322). This higher <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> prevalence involved at least two <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> genotypes (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 4.0; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.2\u20137.1), mainly <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> genotypes (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 3.3; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.7\u20136.4). Similarly, the cumulative prevalence of <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\u20106 and <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\u201011 was higher in patients with anal condylomata (63% <jats:italic>vs.<\/jats:italic> 19% in those without anal condylomata). Having anal condylomata was associated with higher prevalences of cytological abnormalities (83% <jats:italic>vs.<\/jats:italic> 32% in those without anal condylomata; <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 6.9; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.8\u201312.7) and high\u2010grade squamous intraepithelial lesions (<jats:styled-content style=\"fixed-case\">HSILs<\/jats:styled-content>) (9% <jats:italic>vs.<\/jats:italic> 3% in those without anal condylomata; <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 9.0; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 2.9\u201328.4) in the anal canal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected men with anal condylomata were at risk of presenting <jats:styled-content style=\"fixed-case\">HSILs<\/jats:styled-content> and harbouring multiple <jats:styled-content style=\"fixed-case\">HR HPV<\/jats:styled-content> infections in the anal canal. Although <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> presented the highest prevalence of anal condylomata, heterosexual men also had a clinically important prevalence. Our findings emphasize the importance of screening and follow\u2010up for condylomata in the anal canal in <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010infected men.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1468-1293.2012.01013.x","type":"journal-article","created":{"date-parts":[[2015,10,13]],"date-time":"2015-10-13T10:29:09Z","timestamp":1444732149000},"page":"549-557","source":"Crossref","is-referenced-by-count":31,"title":["Condylomata, cytological abnormalities and human papillomavirus infection in the anal canal in <scp>HIV<\/scp>\u2010infected men"],"prefix":"10.1111","volume":"13","author":[{"given":"L","family":"Darwich","sequence":"first","affiliation":[{"name":"Retrovirology Laboratory IrsiCaixa Foundation  Barcelona Spain"},{"name":"Department of Sanitat i Anatomia Animal Universitat Aut\u00f2noma de Barcelona (UAB)  Barcelona 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Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Cobarsi","sequence":"additional","affiliation":[{"name":"Lluita Contra La SIDA Foundation  Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RA","family":"Molina\u2010L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Sanitat i Anatomia Animal Universitat Aut\u00f2noma de Barcelona (UAB)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Vela","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital Germans Trias i Pujol, UAB  Badalona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F","family":"Garc\u00eda\u2010Cuy\u00e1s","sequence":"additional","affiliation":[{"name":"Department of Surgery University Hospital Germans Trias i Pujol, UAB  Badalona 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