common wart
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Etiology
- all warts are caused by human papilloma virus (HPV)
- HPV types 1,2,3,4
Clinical manifestations
- generally painless papule or cluster of papules
- skin-colored with black punctae on close inspection (capillary loops)
- most frequently on the face & distal extremities
- variably-sized 1 mm to 1 cm
- firm, solid, nontender
- dome-shaped papule or nodule
- hyperkeratotic, corrugated surface
- singular or clustered with satellite lesions from local spread
- clusters may become dense & matted
Management
- watch & wait, most disappear with time
- see verruca vulgaris (wart)
- topical salicylic acid is treatment of choice for common warts that need treatment[4]
- cryotherapy every 2 weeks is more effective than topical salicylic acid for common warts[5]
- cantharidin 0.7% colloidal solution
- duct tape[3]
- occlusion of wart with duct tape
- duct tape applied over wart & left for 7 days
- after 7 days, remove tape, soak in water & debride wart with emery board
- repeat process until wart disappears
- most patients note results in 2-3 weeks
- discontinue use if excess irritation of no results within 3 weeks
- topical imiquimod 5%
More general terms
Additional terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 958
- ↑ Anderson, Advance/Laboratory June 2001, pg 91
- ↑ 3.0 3.1 Prescriber's Letter 9(12):70 2002 Cryotherapy Versus Duct Tape for Treating Warts Detail-Document#: http://prescribersletter.com/(5bhgn1a4ni4cyp2tvybwfh55)/pl/ArticleDD.aspx?li=1&st=1&cs=&s=PRL&pt=3&fpt=25&dd=181216&pb=PRL (subscription needed) http://www.prescribersletter.com
Rumor vs. Truth: Duct tape can eliminate the common wart. Prescriber's Letter Nov 17, 2006 - ↑ 4.0 4.1 Medical Knowledge Self Assessment Program (MKSAP) 15, 16, 19. American College of Physicians, Philadelphia 2009, 2012, 2022
- ↑ 5.0 5.1 Bruggink SC et al. Cryotherapy with liquid nitrogen versus topical salicylic acid application for cutaneous warts in primary care: Randomized controlled trial. CMAJ 2010 Oct 19; 182:1624 PMID: https://www.ncbi.nlm.nih.gov/pubmed/20837684