Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid Therapy

Introduction. Immunosuppressant and steroid therapy in systemic lupus erythematosus (SLE) increases the risk of human papillomavirus (HPV) infections, one of which is giant condyloma acuminata (GCA). To our knowledge, there is no report evaluating the correlation between immunosuppressive and steroi...

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Main Authors: Andhika Rachman, Nabila Hasan
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Immunology
Online Access:http://dx.doi.org/10.1155/2016/4710979
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author Andhika Rachman
Nabila Hasan
author_facet Andhika Rachman
Nabila Hasan
author_sort Andhika Rachman
collection DOAJ
description Introduction. Immunosuppressant and steroid therapy in systemic lupus erythematosus (SLE) increases the risk of human papillomavirus (HPV) infections, one of which is giant condyloma acuminata (GCA). To our knowledge, there is no report evaluating the correlation between immunosuppressive and steroid therapy in patients with SLE and the prevalence of GCA. Case Report. A 42-year-old female was diagnosed with SLE a year ago and has been treated with steroids and immunosuppressive drugs. In the last few months she presented GCA involving the genital area recurring almost every two months. Type 6 and 11 HPVs were identified in vulva, vagina, and cervix. Methods. PubMed, EBSCO, and Cochrane Library literature were searched from inception to July 2015. Authors screened all titles and abstracts and read full text article, and two case-control studies were found relevant. Results. SLE patients in both studies were under immunosuppressive and steroid therapy. Condyloma acuminata was diagnosed at 108 months (latest) and 1 month (earliest) after SLE. Type 6, 11, 16, 42, and oncogenic group of HPV were identified. Conclusions. GCA is a type of HPV infection seldom observed in SLE patients. Therefore, their correlation is still unclear. Period of time since SLE was diagnosed and GCA varies from months to years. A more thorough physical and laboratory examination leading to HPV and other infectious disease is recommended.
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spelling doaj-art-fbd14077f35848b2bbb431d8fecca3fa2025-08-20T03:25:34ZengWileyCase Reports in Immunology2090-66092090-66172016-01-01201610.1155/2016/47109794710979Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid TherapyAndhika Rachman0Nabila Hasan1Division of Hematology and Medical Oncology, Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Cipto Mangunkusumo Hospital, Jakarta, IndonesiaFaculty of Medicine, University of Indonesia-Cipto Mangunkusumo Hospital, Jakarta, IndonesiaIntroduction. Immunosuppressant and steroid therapy in systemic lupus erythematosus (SLE) increases the risk of human papillomavirus (HPV) infections, one of which is giant condyloma acuminata (GCA). To our knowledge, there is no report evaluating the correlation between immunosuppressive and steroid therapy in patients with SLE and the prevalence of GCA. Case Report. A 42-year-old female was diagnosed with SLE a year ago and has been treated with steroids and immunosuppressive drugs. In the last few months she presented GCA involving the genital area recurring almost every two months. Type 6 and 11 HPVs were identified in vulva, vagina, and cervix. Methods. PubMed, EBSCO, and Cochrane Library literature were searched from inception to July 2015. Authors screened all titles and abstracts and read full text article, and two case-control studies were found relevant. Results. SLE patients in both studies were under immunosuppressive and steroid therapy. Condyloma acuminata was diagnosed at 108 months (latest) and 1 month (earliest) after SLE. Type 6, 11, 16, 42, and oncogenic group of HPV were identified. Conclusions. GCA is a type of HPV infection seldom observed in SLE patients. Therefore, their correlation is still unclear. Period of time since SLE was diagnosed and GCA varies from months to years. A more thorough physical and laboratory examination leading to HPV and other infectious disease is recommended.http://dx.doi.org/10.1155/2016/4710979
spellingShingle Andhika Rachman
Nabila Hasan
Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid Therapy
Case Reports in Immunology
title Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid Therapy
title_full Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid Therapy
title_fullStr Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid Therapy
title_full_unstemmed Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid Therapy
title_short Giant Condyloma Acuminata in Indonesian Females with SLE under Immunosuppressant and Steroid Therapy
title_sort giant condyloma acuminata in indonesian females with sle under immunosuppressant and steroid therapy
url http://dx.doi.org/10.1155/2016/4710979
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