Hello Doctor, I Am A Student. What Diagnostic Tests You

Posted on Sat, 18 May 2019

Question: Hello Doctor, I am a student. What diagnostic tests you would complete for the following:
1. condyloma acuminatum (genital warts);
2. molluscum contagiosum;
3. condyloma latum lesions of secondary syphilis

Thank you, respectfully XXXXXXX

Answered by Dr. Aaron Branch (1 hour later)

Brief Answer:
See below

Detailed Answer:
Hello again, I'm Dr. Branch, thanks for using Ask a Doctor.

For condyloma acuminatum, diagnosis is usually based on physical exam, including dermoscopy, and rarely a biopsy would be needed.

For molluscum contagiosum, diagnosis is also usually based on physical exam, including dermoscopy, and usually a biopsy is not needed.

For condyloma XXXXXXX lesions of secondary syphilis, a serological test should be done, starting with an RPR, and if that is positive, confirming with a treponemal test such as T. pallidum particle agglutination assay (TPPA). A swab of the lesions can also be done for PCR testing.

I hope that helps, please let me know if you have any other questions about any of the above.

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Above answer was peer-reviewed by : Dr. Vaishalee Punj