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Infection with human papillomavirus precedes the development of low and
high grade squamous intraepithelial lesions. In a study in over 10 000
women Kjaer and colleagues (p 572) found that women who tested positive
for the virus on enrolment to the study had a greater risk of having
atypical cells at two year follow up than women who tested negative.
The association between persistent human papillomavirus infection and
high grade cervical lesions was more pronounced among women aged over 25.