Curr Pediatr Res 2013 Volume 17 Issue 2 123 Curr Pediatr Res 2013; 17 (2): 123-124 ISSN 0971-9032 http://www.pediatricresearch.info Condylomata acuminata in an infant: A case report. Josephat M Chinawa § , Obu H Department of Paediatrics, Faculty of Medical Sciences, University of Nigeria, Nigeria Abstract We report a case of Condylomata acuminata (CA) in an infant, a rare presentation of a fleshy, painful, soft and grayish mass (warts). In presenting this report, we wish to highlight the distinctive manifestation of CA and to provide a concise report of this disorder in in- fancy with the hope that such information will aid early recognition and treatment of this condition, especially in infancy and children. It needs to be mentioned that a high index of suscipicion should to be maintained to be able to make this diagnosis in early life. Keywords: Condylomata acuminata; Infancy; Distinctive; Manifestation Accepted April 27 2013 Introduction We present a rare case of CA in an infant. The purpose of presenting this case is to highlight the distinctive manifes- tation and the possibility of its occurrence in infancy. CA presents as soft skin coloured warts and are caused by Human Papilloma Virus (HPV). The disease is highly contagious, can appear singly or in groups, and may be small or large. [1] Although common in adults, it is rare in children. It is usually transmitted sexually in adults but mainly from maternal genital tract during de- livery, auto-inoculation and sometimes sexual abuse in children. [2]They are the most common viral sexually transmitted disease in the USA. Although CA affects both genders, data from office visits for warts obtained from the National ambulatory medical care survey showed that women accounted for 67% of patients popu- lation.[3]in Nigeria, it accounts for 38.9% of all biopsy skin lesions.[4] Diagnoses are primarily clinical.[4] As malignant transformation of CA is known to occur, it is of utmost importance that such lesions in children are treated promptly.[5] Case presentation NF is a 14 month old child who presented with a mass protruding from the anus for 6 months. This was insidious in onset with a history of pain and dif- ficulty in defecating. Mother had no such growth in preg- nancy. The child had never been sexually assaulted. Ex- amination revealed an apprehensive child with an anal growth, grayish, non tender and non fungating. A clinical diagnosis of Condylomata Acuminata was made. Podo- Phyllin resin was used to burn the masses for about 4 days and this cleared Discussion The infectious cause of condyloma acuminata was dem- onstrated in 1917 by the experimental transmission of the disease from penile condyloma tissue.[6] Topical podo- phyllin was first reported to be effective in 1942 by Kap-