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D Aknin

Publications and source records attributed to D Aknin.

3 recordsLinked to original sources

[Spontaneous regression of flat condylomata of the cervix].

In this study 146 patients with a human papilloma virus infection of the cervix detected on cervical smear. This infection was at the worst associated with CIN 1 or CIN 2. No treatment was carried out on these patients except for advising the use of condoms. Among the 123 women whose diagnosis was CIN 1, 65.2% of them had a negative smear within 18 months. This somewhat high rate of spontaneous regression was found in out patients who were not selected. They are near the results published by Brown in a similar study. The statistics drawn from hospital patients give lower regression rates; but these patients were selected by their doctors because they did not show regression on subsequent smears. It is therefore recommended that these patients should be assessed colposcopically and there should be a wait of 6-12 months before treating patients with CIN 1.

Colposcopy↗

[Risk factors for condylomata. A case control study].

The present study involves 214 patients whose cervical smear showed signs of human papilloma virus infection (HPV), matched with 1042 controls. We demonstrate increasing odds ratio with the total number of sexual partners since first sexual intercourse (p less than 0.0001). Moreover the cases have more often changed partners in the year preceding the diagnosis (odds ratio 2.6 p less than 0.0001). Their male partners more often have occupations that expose them to "extra-conjugal adventures" (p = 0.0005). Using a logistic regression analysis we demonstrate the independence of the masculine and feminine risk factors. After adjustment for age, reason for consulting and marital status the following factors are related to HPV infection: new partner, total number of sexual partners since first sexual intercourse and partner's occupation.

Adult↗

[Detection of flat condylomata of the cervix uteri in the Department of Rhône].

In France's Rhône Department, the prevalence of cervical condylomas detected through cervical smears was measured in a systematic study. The rate determined was 1.67% of the women examined. This rate declines slightly with age among women up to 50 years of age, and declines more among those over 50. The study shows a higher frequency of cases in spring (May and June) and in autumn (September and October). We found important geographical variations, with overall higher rates in urban zones. However, there were certain notable exceptions (high rates in some rural areas and low rates in some urban zones). This survey will be followed up to examine the variation of this rate in time. The study has formed the basis of new hypotheses which must be verified by subsequent surveys.

Adolescent↗