Flashcards in Warts Deck (51)
What are the clinical feature of verruca vulgaris?
hyperkeratotic, exophytic, dome-shaped papule or nodule
What is the most common location of verruca vulgaris?
fingers, dorsal hands, knees, elbows
What do the black dotes mean in verruca vulgaris?
What is koebnerize?
What causes verruca vulgaris?
HPV 2, 4
What is the pathology of HPV wartz?
hyperplasia of epithelium
What does HPV infect?
basal keratinocytes of cutaneous and mucosal epithelium
How is HPV transmitted?
skin to skin or contaminated objects, wart to unaffected skin
What causes verrucae plana - flat warts?
HPV 3, 10
What causes palmoplantar warts?
What causes condylomata acuminata - external genital warts?
HPV 6, 11, 16, 18, 31
When is peak prevalence of warts?
13-16 yo adolescence, can also be younger and older
What percentage of warts resolve in 2 years?
75% but not realistic
How do you treat warts?
multiple tx, laser, acids, cryotherapy
What is the only FDA approved treatment for genital warts?
What are primarily irritating or destructive txs for warts?
cryotherapy, salicyclic acid, tretinoin cream, shave removal, adhesive tape, laser
What is the primarily immune stimulating tx for warts?
imiquimod, candida antigen (IL), immunotherapy (squaric acid or DCNB)
When do you use the candida antigen?
when other things fail
What are the side effects of cryotherapy?
PIPA (postinflammatory pigment alteration), scar, pain, blister, nail dystrophy
What are the clinical features of external genital warts?
not hard or hyperkeratotic, sessile papules, may be papules or large confluent plaque
Where are genital warts present?
external genitalia, perineum, perianal, inguinal fold
How do you do cryotherapy?
white ring 2-3 mm outside bump 2x
Who has the highest incidence of EGW?
What are risk factors for EGW?
sex at early age, numerous partners, unprotected exposure
What is used for prevention of EGW?
What type of HPV infection does immunosuppressed pt get?
frequent, persistent, difficult to treat
higher risk of anal squamous cell carcinoma
Which of the following tx would you use for genetial warts?
cryotherapy, immiquimod, pdophyllin
What are the surgical tx for EGW?
laster, electrocautery, scissor, shave
How does verrucae planae present?
skin colored or pink, smooth surfaced slightly elevated