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Dermatology - Clinical Medicine IV > Warts > Flashcards

Flashcards in Warts Deck (51)
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1

What are the clinical feature of verruca vulgaris?

hyperkeratotic, exophytic, dome-shaped papule or nodule
koebnerize

2

What is the most common location of verruca vulgaris?

fingers, dorsal hands, knees, elbows

3

What do the black dotes mean in verruca vulgaris?

thrombosed capillaries

4

What is koebnerize?

look up

5

What causes verruca vulgaris?

HPV 2, 4

6

What is the pathology of HPV wartz?

hyperplasia of epithelium

7

What does HPV infect?

basal keratinocytes of cutaneous and mucosal epithelium

8

How is HPV transmitted?

skin to skin or contaminated objects, wart to unaffected skin

9

What causes verrucae plana - flat warts?

HPV 3, 10

10

What causes palmoplantar warts?

HPV 1

11

What causes condylomata acuminata - external genital warts?

HPV 6, 11, 16, 18, 31

12

When is peak prevalence of warts?

13-16 yo adolescence, can also be younger and older

13

What percentage of warts resolve in 2 years?

75% but not realistic

14

How do you treat warts?

multiple tx, laser, acids, cryotherapy

15

What is the only FDA approved treatment for genital warts?

imiquimod

16

What are primarily irritating or destructive txs for warts?

cryotherapy, salicyclic acid, tretinoin cream, shave removal, adhesive tape, laser

17

What is the primarily immune stimulating tx for warts?

imiquimod, candida antigen (IL), immunotherapy (squaric acid or DCNB)

18

When do you use the candida antigen?

when other things fail

19

What are the side effects of cryotherapy?

PIPA (postinflammatory pigment alteration), scar, pain, blister, nail dystrophy

20

What are the clinical features of external genital warts?

not hard or hyperkeratotic, sessile papules, may be papules or large confluent plaque

21

Where are genital warts present?

external genitalia, perineum, perianal, inguinal fold

22

How do you do cryotherapy?

white ring 2-3 mm outside bump 2x

23

Who has the highest incidence of EGW?

20-34 yo

24

What are risk factors for EGW?

sex at early age, numerous partners, unprotected exposure

25

What is used for prevention of EGW?

HPV vaccine

26

What type of HPV infection does immunosuppressed pt get?

frequent, persistent, difficult to treat
higher risk of anal squamous cell carcinoma

27

Which of the following tx would you use for genetial warts?

cryotherapy, immiquimod, pdophyllin

28

What are the surgical tx for EGW?

laster, electrocautery, scissor, shave

29

How does verrucae planae present?

skin colored or pink, smooth surfaced slightly elevated

30

Where does verrucae planae occur?

dorsal hands, arms, face (exposed surfaces)