GENITAL CONDYLOMA ACUMINATA IN ELDERLY WOMAN TREATED WITH TOPICAL IMIQUIMOD 5% CREAM: A CASE REPORT

Abstract

Introduction: Condyloma acuminata (CA) is the most common sexually transmitted infection caused by human papillomavirus (HPV). Transmission mainly through sexual intercourse and affects the population between the ages of 25 and 44, although it can occur in older people. Treatments that can be administered are podophyllin, trichloroacetic acid (TCA), imiquimod, 5-fluorouracil, and surgery. Self-administered topical imiquimod has a low recurrence rate. Case report: A 64-year-old woman presents with genital warts since 5 years ago. It was painless and did not bleed easily. Venereology status revealed multiple verrucous papules. Discussion: Genital warts didn’t achieve complete clearance, getting bigger and growing in numbers. Trichloroacetic acid and podophyllin had been administered to the patient once a week for the past 2 years, the warts have decreased in size and then grow again. The patient was advised to undergo surgery, but the patient refused. Then, the patient was given imiquimod 5% cream, 3 times a week for 24 weeks. There was no recurrence after 1 year discontinuation of treatment. Conclusion: A case of genital condyloma acuminata has been reported in elderly woman who was treated with imiquimod 5% cream for 24 weeks and showed a significant improvement.