Condyloma acuminata in male patients. Are there differences between the immigrant and autochthonous populations?

ଝ Condilomas acuminados en varones. ¿Existen diferencias entre población inmigrante y autóctona? Immigration is a reality that cannot be ignored and that provides new professional challenges. 1 As a result, the number of publications related to immigration has increased markedly. Among the skin conditions affected by immigration are sexually transmitted diseases, with some articles reporting a greater incidence of carriers of condyloma acuminata among immigrants. The aim of this study was to answer the question posed by the title of this article, though any conclusions are clearly limited to the population actually studied. We retrospectively included male patients with a clinical and histologic diagnosis of condyloma acuminata who were seen in the dermatology clinic of our hospital between February 18, 2008 and December 31, 2011. We undertook chart review of these patients, and noted the following information: autochthonous or immigrant (including country of origin in the latter case), age, site/number/duration of lesions, presence of human papil-lomavirus (HPV) in skin lesions (using CLART Clinical Arrays from GENOMICA), associated sexually transmitted diseases, risky sexual practices, treatments received, and outcome. In total, the medical records from 113 patients were retrieved. Of these patients, 93 (82%) were autochthonous and the rest were immigrants who had been living in Spain for at least 6 months. The origin of these patients was extremely varied (Table 1). The remaining demographic information is presented in Table 2. There were no significant differences in terms of genital or perianal site of lesions. Tw o autochthonous patients had oral mucosal lesions. We did not find any differences between groups in terms of the presence of HPV as determined by the Clinical Arrays (GENOMICA) assay. The most frequent HPV serotypes were 6 and 11. An immigrant patient was positive for HPV 6 and an autochthonous patient was positive for HPV 61 and 81. We found no differences in the type of treatment needed to control the lesions or whether monotherapy or combination therapy was administered. In both groups, the treatments used, from most frequent to least frequent, were cryotherapy, podophyllin, and topical imiquimod. Likewise , no differences were observed in terms of outcome for the 2 groups. The analysis of articles related to an increase in sexually transmitted diseases in the immigrant population in Spain points to greater frequency of HPV infections among female immigrant prostitutes. 3 However, this observation is not well established in male immigrants. in studies in Spain, …