Abordagens terapêuticas do Condiloma Acuminado em crianças e adolescentes

Autores

DOI:

https://doi.org/10.11606/issn.2176-7262.rmrp.2022.195167

Palavras-chave:

Condiloma Acuminado, Infecções por Papillomavirus, Imiquimode

Resumo

Objetivos: A infecção pelo papiloma vírus humano dos tipos 6 e 11 pode evoluir para Condiloma Acuminado. Sua transmissão é principalmente via sexual, de forma que a presença dessas verrugas em crianças deve ser considerada sinal de alarme para investigação de abuso. Eventualmente, contudo, ocorre por autoinoculação ou fômites. O tratamento é desafiador, dado que apesar do extenso arsenal, a recorrência se faz comum. A presente revisão sistemática advém a comparar taxas de sucesso das estratégias terapêuticas, objetivando fornecer substrato para escolha acertada no tratamento da doença em crianças e adolescentes. Métodos: Foi realizada Revisão sistemática baseada no guideline Preferred Report Items for Systematic Reviews and Meta-Analyses (PRISMA), registrada na Plataforma PROSPERO sob identificação CRD42021262090. Resultados: 211 estudos foram encontrados nas databases consultadas, de forma que 30 atenderam as propostas de critérios estabelecidos na pesquisa sistematizada. Esses passaram extração de dados para síntese qualitativa, demonstrando eficácia de métodos não-invasivos a invasivos.  Conclusões: Mediante bons resultados em resolução da doença e reduzidos efeitos adversos, a terapia mais popular entre os autores foi o Imiquimode. A pesquisa chamou atenção à necessidade de estudos mais robustos e metodologias mais complexas a cerca das abordagens terapêuticas do Condiloma Acuminado em crianças e adolescentes.

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Biografia do Autor

  • Denise Gasparetti Drumond, Universidade Federal de Juiz de Fora, Juiz de Fora, (MG) Brasil

    Docente Associada

  • Bárbara Bizzo Castelo, Universidade Federal de Juiz de Fora, Juiz de Fora, (MG) Brasil

    Acadêmica do Curso de Graduação em Medicina

  • Samuel Drumond Esperança, Hospital Israelita Albert Einstein, São Paulo, (SP), Brasil

    Médico residente

  • Fellipe Bruno Dominiquini, Universidade Federal de Juiz de Fora, Juiz de Fora, (MG) Brasil

    Médico residente

  • Neila Maria de Góis Speck, Universidade Federal de São Paulo, São Paulo, (SP), Brasil

    Doutora

Referências

ACOG. The American College of Obstetricians and Gynecologists.reVITALize: Gynecology Data Definitions. 2018. Disponível em: https://www.acog.org/practice-management/health-it-and-clinical-informatics/revitalize-gynecology-data-definitions. Access: 20/10/2021

de Chernei. CURRENT diagnóstico e tratamento: Ginecologia e Obstetrícia. 11th editio/n. Artmed Editora, 2014.

Benjamin LT. Condylomata acuminata (anogenital warts) in children. UpToDate. 2021. Disponível em: https://www.uptodate.com/contents/condylomata-acuminata-anogenital-warts-in-children. Access: 20/10/2021

de Camargo CC, Tasca KI, Mendes MB, et al. Prevalence of Anogenital Warts in Men with HIV/AIDS and Associated Factors. Open AIDS J 2014; 8:25.

Sinclair KA, Woods CR, Sinal SH. Venereal warts in children. Pediatr Rev 2011; 32:115.

Stefanaki C, Barkas G, Valari M, et al. Condylomata acuminata in children. Pediatr Infect Dis J 2012; 31:422

Hoffman BL. Ginecologia de Williams. 2nd edition. Artmed Editora, 2014.

Pennycook KB, McCready TA. Condyloma Acuminata. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK547667/

O'Mahony C, Gomberg M, Skerlev M, et al. Position statement for the diagnosis and management of anogenital warts. J Eur Acad Dermatol Venereol. 2019;33(6):1006-1019. doi:10.1111/jdv.15570

UpToDate. Imiquimod: Drug information. UpToDate. 2021. Disponível em: https://www.uptodate.com/contents/imiquimod-drug-information. Access: 20/10/21

Giancristoforo S, Diociaiuti A, Tchidjou HK, Lucchetti MC, Carnevale C, Rotunno R, El Hachem M, et al. Successful topical treatment of anal giant condylomata acuminata in an infant. Dermatologic Therapy. 2020;33(4), e13624.

Drumond DG, Pannain GD, Sirilo TR, Carvalho MAG, Esperança SD, Gonçalves Junior HG. Recurrent vulvar condiloma treatment in infant: a case report. DST j. bras. doenças sex. transm. 2019;62-65.

Chamseddin BH, Agim NG, Jarin J, Wilson EE, Mir A. Therapy for anogenital verrucae in preadolescent children with topical and systemic treatment. Pediatric dermatology. 2019;36(5), 623-627.

Veasey JV, Dall’Antonia M, Miguel BAF, Mayor SAS, Campaner AB, da Silveira Manzione T. Condilomas anogenitais em crianças: análise descritiva de 20 casos. Surgical & Cosmetic Dermatology. 2017; 9(2), 130-133.

Smith WA, Siegel D, Lyon VB, Holland KE. Psoriasiform eruption and oral ulcerations as adverse effects of topical 5% imiquimod treatment in children: a report of four cases. Pediatric dermatology. 2013;30(6), e157-e160.

Leclair E, Black A, Fleming N. Imiquimod 5% cream treatment for rapidly progressive genital condyloma in a 3-year-old girl. Journal of pediatric and adolescent gynecology. 2012; 25(6), e119-e121.

Rodrigues LRE, Portugal V, Rodrigues N, Nápoles S, Casanova C. Anogenital warts in children: the importance of a multidisciplinary approach. Acta medica portuguesa. 2011; 24(2), 367-70.

Masuko T, Fuchigami T, Inadomi T, Inamo Y, Hashimoto K. Effectiveness of imiquimod 5% cream for treatment of perianal warts in a 28‐month‐old child. Pediatrics International. 2011;53(5), 764-766.

Val IC, Faria R, Arcoverde F, Gomes M, Val RD, Sampaio L, Horto L.. Série de casos de verruga anogenital em crianças tratadas com imiquimodes. DST j. bras. doenças sex. transm. 2011;101-105.

Brandt HRC, Fernandes JD, Patriota RCR, Criado PR, Belda Junior, W. Tratamento do papiloma vírus humano na infância com creme de imiquimode a 5%. Anais brasileiros de dermatologia. 2010;85(4), 549-553.

Šikanić-Dugić N, Ljubojević S, Pustišek N, Hiršl-Hećej V. Treatment of anogenital warts in an 18-month-old girl with 5% imiquimod cream. Acta Dermatovenerologica Croatica. 2014;22(1), 40-40.

Skowron C, Raoulx M, Skowron F. Condylomes acuminés du nourrisson traités par imiquimod local. In Annales de Dermatologie et de Vénéréologie. 2010;137(10), 622-625.

UpToDate. Sinecatechins: Drug information. UpToDate. 2021. Disponível em: https://www.uptodate.com/contents/sinecatechins-drug-information. Access: 20/10/2021

Godoy-Gijon E, Fraile-Alonso MC, Alonso-Vicente C, Rojo-Rello S. Treatment of pediatric anogenital condyloma acuminata with sinecatechins ointment. Dermatologic therapy. 2017;30(6).

Rob F, Juzlová K, Secníková Z, Jiráková A, Hercogová J. Successful treatment with 10% sinecatechins ointment for recurrent anogenital warts in an eleven-year-old child. The Pediatric infectious disease journal. 2017;36(2), 235-236.

UpToDate. Podophyllum resin: Drug information. UpToDate. 2021. Disponível em: https://www.uptodate.com/contents/podophyllum-resin-drug-information. Acesso em: 20/10/2021

Carusi DA. Condylomata acuminata (anogenital warts): Treatment of vulvar and vaginal warts. UpToDate. 2021. Available: https://www.uptodate.com/contents/condylomata-acuminata-anogenital-warts-in-children. Acesso em 20/10/2021

Varma S, Lathrop E, Haddad LB. Pediatric condyloma acuminata. Journal of pediatric and adolescent gynecology. 2013;26(6), e121-e122.

Rodriguez M, Zachary KC. Cidofovir: An overview. UpToDate. 2021. Avaiable: https://www.uptodate.com/contents/cidofovir-an-overview. Access: 20/10/2021

Muffarrej D, Khattab E, Najjar R. Successful treatment of genital warts with cidofovir cream in a pediatric patient with Fanconi anemia. Journal of Oncology Pharmacy Practice. 2020; 26(5), 1234-1236.

Fernández-Morano T, del Boz J, Frieyro-Elichegui M, Repiso JB, Padilla-España L, de Troya-Martín M. Tratamiento de verrugas anogenitales con cidofovir tópico. Enfermedades Infecciosas y Microbiología Clínica. 2013; 31(4), 222-226.

Calderón-Castrat X, Blanco S, Santos-Durán JC, Roncero-Riesco M. Giant periurethral condyloma acuminata in a 2-year-old girl: Successful treatment with carbon dioxide laser. Actas dermo-sifiliograficas. 2017;108(4), 385-387.

Xu M, Lin N, Li J, Jiang L, Zeng K. Photodynamic therapy as an alternative therapeutic option for pediatric condyloma acuminata: A case series. Photodiagnosis and photodynamic therapy. 2018;24, 179-181.

Chen M, Xie J, Han J. Photodynamic therapy of condyloma acuminatum in a child. Pediatric dermatology. 2010. 27(5), 542-544.

Garaix F, Hery G, Tsimaratos M, Colson P, Tamalet C. Human papillomavirus type 7‐associated anal condyloma after renal transplantation in a child. Pediatric transplantation. 2019;23(5), e13470.

Akpadjan F, Adégbidi H, Attinsounon CA, Koudoukpo C, Dégboé B, Agbessi N, Atadokpèdé F. A case of reccuring giant condyloma of vulva in infant without sexual abuse successfully treated with electrocoagulation in Benin. The Pan African Medical Journal. 2017;27.

Patel RV, Desai D, Cherian A, Martyn-Simmons C. Periurethral and vulval condylomata acuminata: an unusual juvenile venereal disease in a 3-year-old girl. Case Reports. 2014; bcr2013200997.

Percinoto ACC, Danelon M, Crivelini MM, Cunha RF, Percinoto C. Condyloma acuminata in the tongue and palate of a sexually abused child: a case report. BMC research notes.2014;7(1), 1-6.

Altınay-Kırlı E, Güçer Ş, Karnak İ. Perianal giant condyloma acuminata in an infant: an alarming lesion for a pediatric surgeon. The Turkish journal of pediatrics. 2011;53, 333-336.

Allen AL, Siegfried EC. The natural history of condyloma in children. Journal of the American Academy of Dermatology. 1998;39(6), 951-955.

Komericki P, Akkilic-Materna M, Strimitzer T, Aberer W. Efficacy and safety of imiquimod versus podophyllotoxin in the treatment of anogenital warts. Sexually transmitted diseases. 2011;38(3), 216-218.

Food and Drug Administration (FDA). HIGHLIGHTS OF PRESCRIBING INFORMATION: Aldara® (imiquimod) Cream, 5%. Acesso em: 28/05/2021. Available: https://www.accessdata.fda.gov/drugsatfda_docs/label/2010/020723s022lbl.pdf.

Longstaff E, von Krogh G. Condyloma eradication: self-therapy with 0.15-0.5% podophyllotoxin versus 20-25% podophyllin preparations- an integrated safety assessment. Regul Toxicol Pharmacol. 2001; 33:117.

Xie FM, Zeng K, Chen ZL, et al. Treatment of recurrent condyloma acuminatum with solid lipid nanoparticle gel containing podophyllotoxin: a randomized double-blinded, controlled clinical trial. Nan Fang Yi Ke Da Xue Xue Bao. 2007; 27:657.

Lacey CJ, Goodall RL, Tennvall GR, et al. Randomised controlled trial and economic evaluation of podophyllotoxin solution, podophyllotoxin cream, and podophyllin in the treatment of genital warts. Sex Transm Infect. 2003; 79:270.

Widschwendter A, Böttcher B, Riedl D, Coban S, Mutz-Dehbalaie I, Gothe RM, Fessler S. Recurrence of genitals warts in pre-HPV vaccine era after laser treatment. Archives of gynecology and obstetrics. 2019; 300(3), 661-668.

Ting PT, Dytoc MT. Therapy of external anogenital warts and molluscum contagiosum: a literature review. Dermatol Ther. 2004; 17:68.

Publicado

2022-12-27

Edição

Seção

Artigo de Revisão

Como Citar

1.
Drumond DG, Castelo BB, Esperança SD, Dominiquini FB, Speck NM de G. Abordagens terapêuticas do Condiloma Acuminado em crianças e adolescentes. Medicina (Ribeirão Preto) [Internet]. 27º de dezembro de 2022 [citado 25º de abril de 2024];55(4):e-195167. Disponível em: https://www.revistas.usp.br/rmrp/article/view/195167