Most pediatricians have been trained to call social services if they discover a child with genital or anal warts to report a possible allegation that child abuse may have taken place. However, new research published in the October issue of Pediatrics, shows that this symptom alone may not indicate that a child has been abused.
"We have seen over the past few years an increase in the number of Human papillomavirus (HPV) cases (the virus which causes anal and genital warts) in adults and in children," said Sara Sinal, M.D., a pediatrician at Brenner Children's Hospital and expert in child abuse cases. "However, we were seeing younger children with this virus and many times had no other signs that abuse was taking place. These children seemed different in many ways from the children we were seeing for suspected sexual abuse who did not have warts."
Sinal and her colleagues also noticed that a child would often go to an ear, nose and throat physician to be treated for oral or laryngeal warts (warts found in the mouth or throat), however the physician treating the child never suspected or reported child abuse.
"This is the same virus in a different location in the body and child abuse was never considered," Sinal said. "It made us look at these anal and genital warts so we could determine whether a child could contract the diseases from nonsexual contact. We did not want to call social services to report a child if there was no suspicion of abuse. Having been involved in many child abuse reports, I know how traumatic a report can be for a family."
HPV is a virus which can affect mucous membranes, causing warts to grow in the anal, genital, oral cavities or respiratory locations of the
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Contact: Rae Bush
rbush@wfubmc.edu
336-716-4587
Wake Forest University Baptist Medical Center
3-Oct-2005