Resumo

CARABALLO, Lyadavina et al. Infección por virus de papiloma humano: asociación entre infección genital y anal-perianal. Rev Obstet Ginecol Venez [online]. 2010, vol.70, n.4, pp.254-264. ISSN 0048-7732.

Objective: To describe the characteristics of the anal and perianal human papillomavirus infection associated with genital infection by the same virus. Methods: We selected 65 patients, with genital infection by human papillomavirus, who was made them cytology, polymerase chain reaction and colposcopy in genital region, anus and periano. Setting: Servicio de Ginecologia de la Maternidad "Concepción Palacios" Results: The frequency of detection of papillomavirus in anus and periano was 31.3 %. There was consistency between the genital papillomavirus infection and the anus and region parianal in 19.67 % (P > 0,397) and between viral genotypes in 33.74 % (P = 0,0053), this correlation was increased to virus 6. They were 38 evaluable Papanicolaou test anal and perianal (59.4 %) and none diagnosed abnormalities. Among these, 15 were polymerase chain reaction positive for papillomavirus, 21 negative and 2 unsatisfactory. The most common lesions were subclinical. The distribution of the anoscopia result reflects normal is most often (67.2 %). Conclusions: The risk of HPV infection in anus and periano is increased in patients with genital infection. We believe it is important to extend the gynecologic evaluation to the anal and perianal region despite the limitations of the use of Papanicolaou test and the colposcopy.

Palavras-chave : Polymerase chain reaction; Citology; Genital infection by human papillomavirus; Anal and perianal infection by human papillomavirus.