WARTS

Question 1

What causes warts to occur?

Answer 1

Caused by HUMAN PAPILLOMAVIRUS (HPV)

Question 2

How is HPV infection transmitted?

Answer 2

• Direct person-to-person skin contact from HPV infected person (one body part to another in same person)
• Indrectly thru contaminated surfaces ie publich areas

Question 3

What common lesions are formed from type 4 HPV?

Answer 3

Common warts

Question 4

What are the types of lesions that can be observed in Plantar Wart

Answer 4

tender inwardly growing, painful lesions on the sole of the food

• clusters of less painful mosaic warts

Question 5

How long does it take for warts to appear the first time?

Answer 5

1 year

Question 6

Which types of HPV can cause flat warts

Answer 6

3,10,28,49

Question 7

Clinical Features of COMMON WARTS

Answer 7

papuples with riugh, papillomatous and hyperkeratotic surface

Question 8

List all types of HPV that causes anogenital warts and cervical condyloma of higher risk

Answer 8

6,11,16,18

Question 9

What is Filiform Wart

Answer 9

a long stalk like a thread

Question 10

What are the main clinical features of warts in general?

Answer 10

Infection of epithelium causes proliferation of cells which leads to hyperkeratosis

Question 11

Characteristics of cutaneous warts

Answer 11

hard and keratinous surface

Question 12

What common lesions can occur with type 1 HPV

Answer 12

Deep Palmer/Planter warts

Question 13

Which areas are most commonly affected by common warts?

Answer 13

back of fingers or toes, around nails (where nail growth may be distorted) and on the knees

Question 14

What does tiny black dots in the middle of a scaly spots means?

Answer 14

It means that they form due to a intracornealhaemorrhage (trapped blood within SC following localized trauma, usually impact injury)

Question 15

What type of wart have a flat surface?

Answer 15

Plane wart

Question 16

Which sites are most common to be infected with plane warts?

Answer 16

face, hand and shins (often numerous)

Question 17

Which wart can be inoculated (introduced) thru shaving and scratching

Answer 17

plane warts

Question 18

Other name for Plantar Warts

Answer 18

Verrucas

Question 19

What is the distributions of place wart lesions?

Answer 19

Linear

Question 20

What common lesions can occur with type 51-60 HPV?

Answer 20

Anogenital warts and cervical condyloma (lower risk)

Question 21

List all types of warts that commonly appear on the face

Answer 21

filiform, plane

Question 22

If wart removal is performed, is recurrence of the warts likely?

Answer 22

yes, if no stimulation of immune response occur from the wart removal

Question 23

What are the features of anogenital warts?

Answer 23

flesh coloured papule, may join together to form plaques

Question 24

General size of common warts

Answer 24

1mm to larger than 1cm

Question 25

Which areas does mucosal/anogenital warts comminly appear?

Answer 25

lips,nose, airways, cheeks and genitals

Question 26

What treatments can be used to clear warts

Answer 26

Self-limiting disease, so it will clear up on its own without treatment required

Question 27

Is there treatment required for children with warts?

Answer 27

There is not needed as 50% warts disappear by 6 months and 90% by 2 yrs

Question 28

Sizes of anogenital warts

Answer 28

a few mm of diameters and several centimetres across when plaques are formed

Question 29

What other options of treatments can be done to speed up process of clearing up

Answer 29

- daily application of keratolytics agent (such as 15-60% SA) - occlusion with adhesive plaster or duct tape - regular paring with scalpel blade - cryotherapy with liquid nitrogen - electrosurgery

Question 30

What treatment options can be used for large and annoying warts

Answer 30

Electrosurgery (cuttergae and cautery)

Question 31

List the common lesion of warts

Answer 31

- Deep plantar/palmar warts - Flat warts - Common warts - Anogenital warts and cervical condyloma (lower risk) - Anogenital warts and cervical condyloma (higher risk)

Question 32

How does HPV infect the skin?

Answer 32

HPV is assumed to have 100-150 different types. These different types of HPV would differ in the type of epithelium they infect (some strains are oncogenic)