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Tomecka P, Karwowska A, Kuźnicki J, Skinderowicz K, Wojno A, Markut K, Typek P, Ciesielska U, Kulbacka J, Drąg-Zalesińska M. HPV Infection in Children and Adolescents-A Comprehensive Review. J Clin Med 2025; 14:2425. [PMID: 40217872 PMCID: PMC11989703 DOI: 10.3390/jcm14072425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2025] [Revised: 03/28/2025] [Accepted: 03/29/2025] [Indexed: 04/14/2025] Open
Abstract
Background: Human Papillomavirus (HPV) is a predominant and clinically significant virus affecting individuals of all ages, including children and adolescents. Despite its well-documented role in adult health, particularly in cervical cancer, HPV's impact on younger populations still remains underexplored. Methods: This review investigates the epidemiology, clinical manifestations, transmission pathways, and historical context of HPV in children and adolescents. Results: The study demonstrates a significant prevalence of HPV DNA within paediatric populations, with diverse clinical manifestations such as verruca vulgaris, anogenital warts, and Juvenile Recurrent Respiratory Papillomatosis, alongside substantiating vertical transmission from mother to infant. We also highlight ground-breaking research milestones, including improvements in genetic studies, the development of HPV vaccines, and ongoing investigations into infection dynamics, and long-term health outcomes. Conclusions: By synthesising existing knowledge, this review aims to enhance clinical decision-making, improve management strategies, and pave the way for future research in HPV-related paediatric diseases.
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Affiliation(s)
- Paulina Tomecka
- Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland; (P.T.); (A.K.); (J.K.); (K.S.); (A.W.); (K.M.); (P.T.)
| | - Anna Karwowska
- Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland; (P.T.); (A.K.); (J.K.); (K.S.); (A.W.); (K.M.); (P.T.)
| | - Jacek Kuźnicki
- Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland; (P.T.); (A.K.); (J.K.); (K.S.); (A.W.); (K.M.); (P.T.)
| | - Katarzyna Skinderowicz
- Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland; (P.T.); (A.K.); (J.K.); (K.S.); (A.W.); (K.M.); (P.T.)
| | - Aleksandra Wojno
- Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland; (P.T.); (A.K.); (J.K.); (K.S.); (A.W.); (K.M.); (P.T.)
| | - Kornelia Markut
- Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland; (P.T.); (A.K.); (J.K.); (K.S.); (A.W.); (K.M.); (P.T.)
| | - Paulina Typek
- Faculty of Medicine, Wroclaw Medical University, 50-367 Wroclaw, Poland; (P.T.); (A.K.); (J.K.); (K.S.); (A.W.); (K.M.); (P.T.)
| | - Urszula Ciesielska
- Department of Human Morphology and Embryology, Division of Histology and Embryology, Faculty of Medicine, Wroclaw Medical University, T. Chalubińskiego 6a, 50-368 Wroclaw, Poland;
| | - Julita Kulbacka
- Department of Molecular and Cellular Biology, Faculty of Pharmacy, Wroclaw Medical University, Borowska 211a, 50-556 Wroclaw, Poland
- Department of Immunology and Bioelectrochemistry, State Research Institute Centre for Innovative Medicine, Santariškių g. 5, LT-08406 Vilnius, Lithuania
| | - Małgorzata Drąg-Zalesińska
- Department of Human Morphology and Embryology, Division of Histology and Embryology, Faculty of Medicine, Wroclaw Medical University, T. Chalubińskiego 6a, 50-368 Wroclaw, Poland;
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Kellogg ND, Farst KJ, Adams JA. Interpretation of medical findings in suspected child sexual abuse: An update for 2023. CHILD ABUSE & NEGLECT 2023; 145:106283. [PMID: 37734774 DOI: 10.1016/j.chiabu.2023.106283] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/25/2023] [Revised: 05/12/2023] [Accepted: 06/07/2023] [Indexed: 09/23/2023]
Abstract
Health care professionals who examine children who may have been sexually abused need to be able to recognize, and photo-document any physical signs, and to have access to expert reviewers, particularly when signs concerning for sexual abuse are found. Although the general consensus among practitioners is that children will show few signs of sexual abuse on examination, there is considerable variability and rates of positive exam findings among practitioners of different professions, practice settings, and countries. This review will summarize new data and recommendations regarding the interpretation of medical findings and sexually transmitted infections (STIs); assessment and management of pediatric patients presenting with suspected sexual abuse or assault; and testing and treating patients for STIs. Updates to a table listing an approach to the interpretation of medical findings are presented, and reasons for changes are discussed.
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Affiliation(s)
- Nancy D Kellogg
- Department of Pediatrics, Division of Child Abuse, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78229, United States.
| | - Karen J Farst
- Department of Pediatrics-Children at Risk, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, 4301 Markham Street, Little Rock, AR 72205, United States
| | - Joyce A Adams
- Department of Pediatrics, University of California San Diego, La Jolla, San Diego, CA 92093, United States
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Kumar B, Narayanan VR, Narang T. Comment on: "Vulval dermatoses (venereal and nonvenereal) among female patients presenting to a tertiary care hospital in North India". Indian J Sex Transm Dis AIDS 2023; 44:105-106. [PMID: 37457533 PMCID: PMC10343116 DOI: 10.4103/ijstd.ijstd_31_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 03/20/2023] [Accepted: 03/20/2023] [Indexed: 07/18/2023] Open
Affiliation(s)
- Bhushan Kumar
- Department of Dermatology, Shalby Hospital, Sahibzada Ajit Singh Nagar, Punjab, India
- Department of Dermatology, Venereology and Leprology, MS Ramaiah Medical College, Bengaluru, Karnataka, India
| | - Vignesh R. Narayanan
- Department of Dermatology, Venereology and Leprology, MS Ramaiah Medical College, Bengaluru, Karnataka, India
| | - Tarun Narang
- Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Bovbjerg ML. Current Resources for Evidence-Based Practice, November 2021. J Obstet Gynecol Neonatal Nurs 2021; 50:789-800. [PMID: 34653377 DOI: 10.1016/j.jogn.2021.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
An extensive review of new resources to support the provision of evidence-based care for women and infants. The current column includes a discussion of autonomy and respect in maternity care and commentaries on reviews focused on whether to induce women who present with mild preeclampsia in the late preterm period and the extent to which urinary incontinence symptoms prevent women from participating in exercise. It also includes a brief update about the USPSTF guidelines on screening for gestational diabetes.
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