It has also been reported from sharing of swimsuits, underwear, or bath towels, and from non-sexual touching during routine care such as diapering. Genital warts in children are less likely to be caused by HPV subtypes 6 and 11 than adults, and more likely to be caused by HPV types that cause warts elsewhere on the body ("cutaneous types"). Surveys of pediatricians who are child abuse specialists suggest that in children younger than 4 years old, there is no consensus on whether the appearance of new anal or genital warts, by itself, can be considered an indicator of sexual abuse. Diagnosis
The diagnosis of genital warts is most often made visually, but may require confirmation by biopsy in some cases. Smaller warts may occasionally be confused with molluscum contagiosum. Genital warts, histopathologically, characteristically rise above the skin surface due to enlargement of the dermal papillae, have parakeratosis and the characteristic nuclear changes typical of HPV infections (nuclear enlargement with perinuclear clearing). DNA tests are available for diagnosis of high-risk HPV infections. Because genital warts are caused by low-risk HPV types, DNA tests cannot be used for diagnosis of genital warts or other low-risk HPV infections.Some practitioners use an acetic acid solution to identify smaller warts ("subclinical lesions"), but this practice is controversial. Because a diagnosis made with acetic acid will not meaningfully affect the course of the disease, and cannot be verified by a more specific test, a 2007 UK guideline advises against its use.
Autoimmune
Multiple sclerosis (neurologic pain interpreted as muscular)
Myositis
Mixed connective tissue disease
Lupus erythematosus
Fibromyalgia syndrome
Familial Mediterranean fever
Polyarteritis nodosa
Devics disease
Morphea
Sarcoidosis

Metabolic defect
Carnitine palmitoyltransferase II deficiency
Conns syndrome
Adrenal insufficiency
Hyperthyroidism
Hypothyroidism
Diabetes
Hypogonadism
Postorgasmic illness syndrome

Other
Chronic fatigue syndrome (aka myalgic encephalomyelitis)
Channelopathy
Ehlers Danlos Syndrome
Stickler Syndrome
Hypokalemia
Hypotonia
Exercise intolerance
Mastocytosis
Peripheral neuropathy
Eosinophilia myalgia syndrome
Barcoo Fever
Herpes
Hemochromatosis
Delayed onset muscle soreness
HIV/AIDS
Generalized anxiety disorder
Tumor-induced osteomalacia
Hypovitaminosis D
Infarction

Withdrawal syndrome from certain drugs
Sudden cessation of high-dose corticosteroids, opioids, barbiturates, benzodiazepines, caffeine, or alcohol can induce myalgia. Treatment
When the cause of myalgia is unknown, it should be treated symptomatically. Common treatments include heat, rest, paracetamol, NSAIDs, massage, cryotherapy and muscle relaxants. See also
Arthralgia
Myopathy
Myositis

References


== External links ==