Condyloma Acuminatum

Genital Warts Highly contagious and sexually transmitted, soft, skin-colored, fleshy warts can be pin-head papules or cauliflower-like masses that are caused by the human papilloma virus. On the vulva, perianal area, vaginal walls, cervix, or on the shaft of the penis, warts can be raised clusters and obviously wart-like, or so small they only become recognizable after application of 5% acetic acid (vinegar) for ten minutes. Lesions must be distinguished from condylomata lata caused by syphilis. Diagnosis of syphilis is based on a positive serologic test or discovery of Treponema pallidum on darkfield examination.