# Transmission and therapeutic modalities on condyloma acuminata in children: a case report

## TL;DR

This case report describes a rare instance of condyloma acuminata in a one-year-old child, emphasizing non-sexual transmission and successful treatment with trichloroacetic acid.

## Contribution

The paper presents a novel case of condyloma acuminata in a child, highlighting non-sexual transmission and an effective treatment approach.

## Key findings

- Condyloma acuminata was diagnosed in a one-year-old child through acetowhite testing and histopathological examination.
- Treatment with 90% trichloroacetic acid resulted in complete lesion resolution after two applications.
- The case underscores the importance of considering non-sexual transmission and the role of venereology specialists in pediatric STI management.

## Abstract

This case report presents a unique instance of condyloma acuminata in a one-year-old child, which adds to the scientific literature by highlighting the potential for non-sexual transmission in pediatric patients. The child exhibited a rapidly enlarging, skin-colored lump around the anus, initially a small bump that soon resembled a cauliflower. Acetowhite testing was positive, and histopathological examination revealed hyperkeratosis, acanthosis, and papillomatosis, leading to the diagnosis of condyloma acuminata. The main therapeutic intervention involved the application of 90% trichloroacetic acid (TCA), resulting in complete lesion resolution after two treatments, with no recurrence observed over a six-month follow-up period. This case emphasizes the urgent need for special attention to sexually transmitted infections (STIs) in children, considering the potential link to sexual violence. It highlights the critical, holistic role of venereology specialists, not only in providing effective and safe curative treatments but also in actively preventing further transmission and supporting vulnerable patients like children.