Human papillomavirus classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

## Overview

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Human papillomavirus may have different presentations depending on the anatomical region of involvement and the virus type. Mainly it is classified to cutaneous, anogenital and other mucosal surfaces.

## Classification

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Based on tissue involvement, human papillomavirus (HPV) is classified in to 3 main groups:

* Cutaneous
* Anogenital
* Other Mucosal surfaces

Currently, 210 different types of HPV have been discovered and the number keeps increasing.[1][2] Clinical manifestations depend on which HPV type involve which anatomic area.[3][4]

### Cutaneous lesions

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Clinical presentation | Frequently found types | Less Frequently found types

|
|

Common wart | 1, 2, 4  | 4, 26, 27, 29, 41, 57, 63, 65, 77, 117, 125, 128, 129, 130, 131, 132, 133, 148, 149
Plantar wart | 1, 2  | 26, 27, 29, 41, 57, 63, 65, 77, 117, 125, 128, 129, 130, 131, 132, 133, 148, 149
Flat and intermediate warts  | 3, 10  | 26, 27, 28, 38, 41, 49, 75, 76, 126
Common warts of meat, poultry, and fish handlers | 2, 7  | 1, 3, 4, 10, 28
Epidermodysplasia verruciformis | 3, 5, 8  | 9 , 12 , 14 , 15 , 17 , 19–25 , 36–38 , 47 , 49 , 50

### Anogenital lesions

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Clinical presentation | Frequently found types | Less Frequently found types

|
|

Low grade intraepithelial neoplasia(squamous cell carcinoma) | 6, 11  | 16, 18, 31, 33, 35, 42, 43, 44, 45, 51, 52, 54, 61, 70, 72, 74
High grade intraepithelial neoplasia(squamous cell carcinoma) | 16, 18  | 6, 11, 31, 33, 34, 35, 39, 42, 44, 45, 51, 52, 56, 58, 66, 67
Condylomata acuminata | 6, 11  | 40, 42–44, 54, 61, 70, 72, 81
Genital bowen's disease | 16  |

### Other mucosal lesions

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Clinical presentation | Frequently found types | Less Frequently found types

|
|

Buschke–Löwenstein tumor | 6, 11  |
Recurrent respiratory papillomatosis | 6, 11  | 16, 18, 31, 33, 35, 39
Conjunctival papillomas and carcinomas  | 6, 11, 16  |

## References

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1. ↑ "Reference clones at International HPV Reference Center".
2. ↑ Bernard HU, Burk RD, Chen Z, van Doorslaer K, zur Hausen H, de Villiers EM (2010). "Classification of papillomaviruses (PVs) based on 189 PV types and proposal of taxonomic amendments". Virology. 401 (1): 70–9. doi:10.1016/j.virol.2010.02.002. PMC 3400342. PMID 20206957.
3. ↑ Jenson AB, Kurman RJ, Lancaster WD (1985). "Detection of papillomavirus common antigens in lesions of skin and mucosa". Clin. Dermatol. 3 (4): 56–63. PMID 2463866.
4. ↑ Bzhalava D, Eklund C, Dillner J (2015). "International standardization and classification of human papillomavirus types". Virology. 476: 341–4. doi:10.1016/j.virol.2014.12.028. PMID 25577151.

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