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Persistent human papillomavirus infection

MedGen UID:
1690100
Concept ID:
C5139087
Disease or Syndrome
Synonyms: Chronic HPV infection; Persistent HPV infection
 
HPO: HP:0020114

Definition

Human papillomaviruses (HPVs) are small oncogenic viruses. HPV has been shown to cause a variety of lesions and malignancies, which predominantly affect the anogenital region. Low-risk, non-oncogenic HPV types are associated with anogenital warts and recurrent respiratory papillomatosis while high-risk, oncogenic types are associated with cervical, penile, anal, vaginal, vulvar, and oropharyngeal cancers. Infection with anogenital HPV is usually asymptomatic and resolves spontaneously without consequences in the immunocompetent host. When disease does occur, the most common manifestation is genital warts, which may be small papules, or flat, smooth or pedunculated lesions. This resolution of HPV lesions is not generally seen in the immunosuppressed, resulting in severe, persistent and extensive manifestations of HPV disease. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPersistent human papillomavirus infection

Conditions with this feature

Epidermodysplasia verruciformis, susceptibility to, 2
MedGen UID:
1648344
Concept ID:
C4722258
Finding
Epidermodysplasia verruciformis (EV) is a rare genodermatosis associated with a high risk of skin cancer. EV results from an abnormal susceptibility to specific related human papillomavirus (HPV) genotypes and to the oncogenic potential of some of them, mainly HPV5. Infection with EV-associated HPV leads to the early development of disseminated flat wart-like and pityriasis versicolor-like lesions. Patients are unable to reject their lesions, and cutaneous Bowen carcinomas in situ and invasive squamous cell carcinomas develop in about half of them, mainly on sun-exposed areas (summary by Ramoz et al., 2000). For a discussion of genetic heterogeneity of susceptibility to epidermodysplasia verruciformis, see EV1 (226400).
Epidermodysplasia verruciformis, susceptibility to, 5
MedGen UID:
1648489
Concept ID:
C4749043
Finding
Epidermodysplasia verruciformis-5 is an autosomal recessive immunologic disorder characterized by onset of warts and verrucous or plaque-like skin lesions associated with HPV infection. Immunologic workup shows T-cell lymphopenia, particularly affecting CD4+ T cells. There is an increased risk of skin malignancy, and some patients may have other symptoms of immune dysfunction (summary by Horev et al., 2015). For a discussion of genetic heterogeneity of susceptibility to epidermodysplasia verruciformis, see EV1 (226400).

Professional guidelines

PubMed

Willeford WG, Barroso L, Keller J, Fino N, Bachmann LH
Sex Transm Dis 2016 Aug;43(8):479-82. doi: 10.1097/OLQ.0000000000000475. PMID: 27419814Free PMC Article
Cendejas BR, Smith-McCune KK, Khan MJ
Am J Obstet Gynecol 2015 Mar;212(3):291-7. Epub 2014 May 29 doi: 10.1016/j.ajog.2014.05.039. PMID: 24881827Free PMC Article
Acladious NN, Sutton C, Mandal D, Hopkins R, Zaklama M, Kitchener H
Int J Cancer 2002 Mar 20;98(3):435-9. doi: 10.1002/ijc.10080. PMID: 11920596

Recent clinical studies

Etiology

Zhao M, Zhou D, Zhang M, Kang P, Cui M, Zhu L, Luo L
PeerJ 2023;11:e16247. Epub 2023 Nov 14 doi: 10.7717/peerj.16247. PMID: 38025679Free PMC Article
Rahangdale L, Mungo C, O'Connor S, Chibwesha CJ, Brewer NT
BMJ 2022 Dec 15;379:e070115. doi: 10.1136/bmj-2022-070115. PMID: 36521855
Della Fera AN, Warburton A, Coursey TL, Khurana S, McBride AA
Viruses 2021 Feb 20;13(2) doi: 10.3390/v13020321. PMID: 33672465Free PMC Article
Liu Y, Li H, Pi R, Yang Y, Zhao X, Qi X
Int J Oncol 2019 Sep;55(3):570-584. Epub 2019 Jul 23 doi: 10.3892/ijo.2019.4847. PMID: 31364734
Schiffman M, Wentzensen N
Cancer Epidemiol Biomarkers Prev 2013 Apr;22(4):553-60. doi: 10.1158/1055-9965.EPI-12-1406. PMID: 23549399Free PMC Article

Diagnosis

Biglari S, Moghaddam AS, Tabatabaiefar MA, Sherkat R, Youssefian L, Saeidian AH, Vahidnezhad F, Tsoi LC, Gudjonsson JE, Hakonarson H, Casanova JL, Béziat V, Jouanguy E, Vahidnezhad H
Genet Med 2024 Feb;26(2):101028. Epub 2023 Nov 14 doi: 10.1016/j.gim.2023.101028. PMID: 37978863Free PMC Article
Rahangdale L, Mungo C, O'Connor S, Chibwesha CJ, Brewer NT
BMJ 2022 Dec 15;379:e070115. doi: 10.1136/bmj-2022-070115. PMID: 36521855
Cendejas BR, Smith-McCune KK, Khan MJ
Am J Obstet Gynecol 2015 Mar;212(3):291-7. Epub 2014 May 29 doi: 10.1016/j.ajog.2014.05.039. PMID: 24881827Free PMC Article
Lane JE, Bowman PH, Cohen DJ
South Med J 2003 Jun;96(6):613-5. doi: 10.1097/01.SMJ.0000054544.47233.7C. PMID: 12938792
Ferenczy A, Franco E
Lancet Oncol 2002 Jan;3(1):11-6. doi: 10.1016/s1470-2045(01)00617-9. PMID: 11905599

Therapy

Zhao M, Zhou D, Zhang M, Kang P, Cui M, Zhu L, Luo L
PeerJ 2023;11:e16247. Epub 2023 Nov 14 doi: 10.7717/peerj.16247. PMID: 38025679Free PMC Article
Rahangdale L, Mungo C, O'Connor S, Chibwesha CJ, Brewer NT
BMJ 2022 Dec 15;379:e070115. doi: 10.1136/bmj-2022-070115. PMID: 36521855
Zheng K, Egawa N, Shiraz A, Katakuse M, Okamura M, Griffin HM, Doorbar J
Viruses 2022 Jan 22;14(2) doi: 10.3390/v14020214. PMID: 35215808Free PMC Article
Liu Y, Li H, Pi R, Yang Y, Zhao X, Qi X
Int J Oncol 2019 Sep;55(3):570-584. Epub 2019 Jul 23 doi: 10.3892/ijo.2019.4847. PMID: 31364734
Shanmugasundaram S, You J
Viruses 2017 Aug 18;9(8) doi: 10.3390/v9080229. PMID: 28820433Free PMC Article

Prognosis

Zhang N, Chen Z, Huang M, Lu Q, Yang H, Xiang J, Yang J, Peng Y, Wang G, Han N, Min X, Huang J
J Med Virol 2024 Feb;96(2):e29451. doi: 10.1002/jmv.29451. PMID: 38305046
Hildesheim A, Gonzalez P, Kreimer AR, Wacholder S, Schussler J, Rodriguez AC, Porras C, Schiffman M, Sidawy M, Schiller JT, Lowy DR, Herrero R; Costa Rica HPV Vaccine Trial (CVT) Group
Am J Obstet Gynecol 2016 Aug;215(2):212.e1-212.e15. Epub 2016 Feb 16 doi: 10.1016/j.ajog.2016.02.021. PMID: 26892991Free PMC Article
Havrilesky LJ, Gierisch JM, Moorman PG, Coeytaux RR, Urrutia RP, Lowery WJ, Dinan M, McBroom AJ, Wing L, Musty MD, Lallinger KR, Hasselblad V, Sanders GD, Myers ER
Evid Rep Technol Assess (Full Rep) 2013 Jun;(212):1-514. PMID: 24423062Free PMC Article
Ferenczy A, Franco E
Lancet Oncol 2002 Jan;3(1):11-6. doi: 10.1016/s1470-2045(01)00617-9. PMID: 11905599
Schlecht NF, Kulaga S, Robitaille J, Ferreira S, Santos M, Miyamura RA, Duarte-Franco E, Rohan TE, Ferenczy A, Villa LL, Franco EL
JAMA 2001 Dec 26;286(24):3106-14. doi: 10.1001/jama.286.24.3106. PMID: 11754676

Clinical prediction guides

Zhang N, Chen Z, Huang M, Lu Q, Yang H, Xiang J, Yang J, Peng Y, Wang G, Han N, Min X, Huang J
J Med Virol 2024 Feb;96(2):e29451. doi: 10.1002/jmv.29451. PMID: 38305046
Novak J, Belleti R, da Silva Pinto GV, do Nascimento Bolpetti A, da Silva MG, Marconi C
Sci Rep 2023 Aug 31;13(1):14266. doi: 10.1038/s41598-023-41469-8. PMID: 37652960Free PMC Article
Ahn J, Bishop JA, Roden RBS, Allen CT, Best SRA
Laryngoscope 2018 Jan;128(1):E27-E32. Epub 2017 Sep 22 doi: 10.1002/lary.26847. PMID: 28940446Free PMC Article
Peterson CE, Sedjo RL, Davis FG, Beam CA, Giuliano AR
Nutr Cancer 2010;62(6):728-33. doi: 10.1080/01635581003693074. PMID: 20661820
Schlecht NF, Kulaga S, Robitaille J, Ferreira S, Santos M, Miyamura RA, Duarte-Franco E, Rohan TE, Ferenczy A, Villa LL, Franco EL
JAMA 2001 Dec 26;286(24):3106-14. doi: 10.1001/jama.286.24.3106. PMID: 11754676

Recent systematic reviews

McGee AE, Hawco S, Bhattacharya S, Hanley SJB, Cruickshank ME
Eur J Obstet Gynecol Reprod Biol 2024 Nov;302:332-338. Epub 2024 Oct 1 doi: 10.1016/j.ejogrb.2024.09.019. PMID: 39369502
Biglari S, Moghaddam AS, Tabatabaiefar MA, Sherkat R, Youssefian L, Saeidian AH, Vahidnezhad F, Tsoi LC, Gudjonsson JE, Hakonarson H, Casanova JL, Béziat V, Jouanguy E, Vahidnezhad H
Genet Med 2024 Feb;26(2):101028. Epub 2023 Nov 14 doi: 10.1016/j.gim.2023.101028. PMID: 37978863Free PMC Article
Koshiol J, Lindsay L, Pimenta JM, Poole C, Jenkins D, Smith JS
Am J Epidemiol 2008 Jul 15;168(2):123-37. Epub 2008 May 15 doi: 10.1093/aje/kwn036. PMID: 18483125Free PMC Article

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