Human immunodeficiency virus, hepatitis B virus, hepatitis C virus, and syphilis co-infections among patients with anogenital warts in Tabriz, Iran

Sara Saniee , Hamideh Herizchi-Qadim1, Mohammadreza Ranjkesh1, Niloofar Afshari1, Ghazaleh Davarnia1, Elham Nahchami1, Davood Ahmadi-Maleki1, Neda Razaghi1, Sahar Ebrahimi1, Asal Sadri1, Leila Hatamnejad1, Mir Ahad Mousavi1
1 Department of Dermatology, School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran


Introduction: Genital infection with papilloma virus is the most common sexually-transmitted disease (STD). It is recommended that individuals who have a sexual risk factor, should be screened for syphilis, human immunodeficiency virus (HIV), and hepatitis B and C. However, this strategy is often not carried out in Iran. In the present study, patients with genital warts were screened for syphilis, HIV, and hepatitis B and C.

Methods: We evaluated 311 patients with anogenital warts visiting dermatology clinics from June 2016 to June 2017. In addition, demographic data were collected using a pre-designed questionnaire. Patients who presented to Sina Hospital, Tabriz, Iran, were examined for HIV, syphilis, hepatitis B and C, urethral and vaginal discharge, and history of painful genital lesions, while patients presenting to Bahar Behavioral Disease Counseling Center of Tabriz were examined only for HIV. Data were analyzed using chi-square and Fisher’s exact tests via SPSS software.

Results: Out of 263 cases with genital warts presenting to Sina Hospital, 1, 1, and 2 cases were positive for HIV, syphilis, and hepatitis B, respectively. At the same time, one of the patients presenting to Bahar Center showed HIV infection.

Conclusion: We found two HIV-positive, two hepatitis B virus (HBV)-positive, and one syphilis cases in 311 patients with genital warts, so it is recommended to assess these tests routinely in high-risk individuals with genital warts, including multi-partner and addicted patients.

keywords: Human Immunodeficiency Virus, Hepatitis B Virus, Hepatitis C Virus, Syphilis, Genital Wart

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