Presentation and Diagnosis of HPV Infection
- Clinicians with limited expertise should refer patients with abnormal anogenital physical findings, such as warts, hypopigmented or hyperpigmented plaques/lesions, lesions that bleed, or any other lesions of uncertain etiology, for expert evaluation, which may include colposcopy, HRA, or biopsy. (A3)
- Clinicians should maintain a low threshold for obtaining biopsies of lesions that are atypical in appearance; condylomatous; hypopigmented, hyperpigmented, or variegated; or that fail to respond to standard treatment. (A3)
- Clinicians should conduct or refer patients with abnormal cervical or anal cytology results for colposcopy, HRA, or biopsy as recommended in the NYSDOH AI guidelines Screening for Cervical Dysplasia and Cancer in Adults With HIV and Screening for Anal Dysplasia and Cancer in Adults With HIV. (A3)
- Clinicians should refer individuals with visible urethral lesions to a urologist experienced in HPV biopsy and diagnosis. (A3)
- Clinicians should diagnose, treat, and follow up on HPV-related lesions in patients with HIV in consultation with a clinician experienced in the management of HPV and HIV. (A3)
