Wart

WhatIs ?

Photos

WhatCauses ?

Clinical Presentations Of

Complication Of

Treatment Options For

Prevention Of

What Is Wart?
    • Wart is due to Human papillomavirus (HPV) infection of skin which presents as filiform or verrucous well demarcated papule with pinpoint bleedings within the lesion
    • Wart has a 20% prevalence among schoolchildren and it tends to regress spontaneously within 1–2 years
    • Different types of HPV virus are responsible for formation of genital, palmoplantar or flat wart
    • Wart can also affect oral and genitival mucosa cussing concern for squamous cell carcinoma
Photos

wart examples - remotederm
Wart
wart samples - remotederm
Wart
wart - remotederm
Wart
What Causes Wart?

Verruca vulgaris (wart) is due to HPV virus infection. It is highly contagious and can be transmitted through direct skin to skin contact or via harboring on fomites (objects that virus come into contact)

Clinical Presentations Of Wart
    • Thick scaly, cauliflower like bumps on fingers & back of hands
    • Causes nail destruction
    • Pinpoint black dots representing clotted capillaries& indicative of active infection
    • Self-spreading by scratching may cause a linear arrangement
Complication Of Wart
  • Genital wart can cause cervical cancer
Treatment Options for Wart
  • Physical destruction
    • Cryotherapy
    • Trichloroacetic acid 70%-90%
    • Electrocautery
    • Laser therapy
    • Photodynamic therapy
  • Cytotoxic therapy
    • Podophyllotoxin 0.5% solution
    • Cidofovir 1% gel
  • Immunomodulation
    • Imiquimod 5%
    • Sinecatechins 15%
    • Intralesional 5-FU
    • Intralesional Bleomycin
  • Topical therapy
    • Salicylic acid
    • Retinoids
  • Oral
    • Cimetidine, 30–40 mg/kg in divided dose
Prevention Of Wart
  • Gardasil: HPV6,11,16,18 VLPs for 9-26 M & F
  • Cervarix: HPV 16, 18 VLPs for F 9-25
  • Vaccine have near-complete protection (>90% vaccine efficacy) against vaccine-type HPV infection as well as 100% protection in the prevention of genital warts, almost for 5 year

Essential Reads

Itchy Skin

Pruritus is a a sensation that elicits a desire to scratch. Pruritus is the most common skin symptom, with underlying systemic etiology in 10-25% of patients

Rash

Pruritus is a a sensation that elicits a desire to scratch. Pruritus is the most common skin symptom, with underlying systemic etiology in 10-25% of patients.

Recent Posts

Wart is due to Human papillomavirus (HPV) infection of skin which presents as filiform or verrucous well demarcated papule with pinpoint bleedings within the lesion