{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T12:30:54Z","timestamp":1762432254447,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,11,3]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:p>Condylomata acuminata lesions, commonly known as anogenital warts, are caused by human papillomavirus and manifest as flesh-coloured or hyperpigmented papules or plaques in the anogenital region. We report the case of a previously healthy young child that presented with anal condyloma lesions without other accompanying symptoms. His mother had similar lesions in the genital area. After careful investigation, no evidence of sexual abuse was found. Gradual clinical improvement was observed without treatment. This case highlights a disease that, when diagnosed in children, should alert the physician to the possibility of sexual abuse. However, other transmission routes, such as vertical transmission or autoinoculation and heteroinoculation during non-sexual contact, should also be considered.<\/jats:p>","DOI":"10.1136\/bcr-2022-250591","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T10:20:32Z","timestamp":1670235632000},"page":"e250591","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Anogenital condylomata acuminata in young children: not always result of sexual transmission"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9945-0567","authenticated-orcid":false,"given":"Joana Valente","family":"Dias","sequence":"first","affiliation":[{"name":"Paediatric Department, Hospital Beatriz \u00c2ngelo, Loures, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00f3nia","family":"Gomes","sequence":"additional","affiliation":[{"name":"Paediatric Department, Hospital Beatriz \u00c2ngelo, Loures, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helga","family":"Afonso","sequence":"additional","affiliation":[{"name":"Paediatric Department, Hospital Beatriz \u00c2ngelo, Loures, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rita","family":"Teles","sequence":"additional","affiliation":[{"name":"Paediatric Department, Hospital Beatriz \u00c2ngelo, Loures, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,12,5]]},"reference":[{"key":"2025082711314938000_15.12.e250591.1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1055\/s-0031-1280417","article-title":"Anogenital Warts in Childhood - Always a Marker for Sexual Abuse?","volume":"72","author":"Bussen","year":"2012","journal-title":"Geburtshilfe Frauenheilkd"},{"key":"2025082711314938000_15.12.e250591.2","doi-asserted-by":"crossref","first-page":"e325","DOI":"10.1111\/pde.13543","article-title":"Anogenital warts in children: analysis of a cohort of 34 prepubertal children","volume":"35","author":"Costa-Silva","year":"2018","journal-title":"Pediatr Dermatol"},{"key":"2025082711314938000_15.12.e250591.3","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1590\/abd1806-4841.201756411","article-title":"Anogenital warts in pediatric population","volume":"92","author":"Costa-Silva","year":"2017","journal-title":"An Bras Dermatol"},{"key":"2025082711314938000_15.12.e250591.4","doi-asserted-by":"publisher","DOI":"10.1136\/adc.2005.092080"},{"key":"2025082711314938000_15.12.e250591.5","first-page":"34","article-title":"Transmission of anogenital warts in children and association with sexual abuse","volume":"22","author":"Drezett","year":"2012","journal-title":"Rev bras crescimento desenvolv hum"},{"key":"2025082711314938000_15.12.e250591.6","doi-asserted-by":"crossref","first-page":"97","DOI":"10.29021\/spdv.73.1.348","article-title":"Anogenital warts in children \u2013 a challenging diagnosis","volume":"73","author":"Belo Morais","year":"2015","journal-title":"Journal of the Portuguese Society of Dermatology and Venereology"},{"key":"2025082711314938000_15.12.e250591.7","first-page":"133","article-title":"Sexually transmitted diseases in the pediatric patient","volume":"46","author":"Nita","year":"2004","journal-title":"BCMJ"},{"key":"2025082711314938000_15.12.e250591.8","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2021-sti.218"},{"key":"2025082711314938000_15.12.e250591.9","doi-asserted-by":"crossref","DOI":"10.33448\/rsd-v11i2.26103","article-title":"Epidemiological study of children with condyloma acuminata in an outpatient clinic of medical specialties in the city of S\u00e3o Paulo","volume":"11","author":"Campos","year":"2022","journal-title":"RSD"},{"key":"2025082711314938000_15.12.e250591.10","doi-asserted-by":"publisher","DOI":"10.1136\/sextrans-2015-052242"},{"key":"2025082711314938000_15.12.e250591.11","first-page":"883","article-title":"Evaluating the child for sexual abuse","volume":"63","author":"Lahoti","year":"2001","journal-title":"Am Fam Physician"},{"key":"2025082711314938000_15.12.e250591.12","first-page":"292","article-title":"Condilomas acuminados en ni\u00f1os: presentaci\u00f3n de un caso, estado actual Y protocolo de actuaci\u00f3n","volume":"44","author":"\u00d1\u00edguez","year":"1996","journal-title":"An Esp Pediatr"},{"key":"2025082711314938000_15.12.e250591.13","doi-asserted-by":"crossref","first-page":"79","DOI":"10.29021\/spdv.79.1.1296","article-title":"Condylomata acuminata in childhood","volume":"79","author":"S\u00e3o Pedro","year":"2021","journal-title":"Journal of the Portuguese Society of Dermatology and Venereology"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2022-250591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T18:32:00Z","timestamp":1756319520000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2022-250591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12]]},"references-count":13,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,12,5]]},"published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1136\/bcr-2022-250591"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2022-250591","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,12]]}}}