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Warts

Kyle B. Stephens, DO, MPH Reviewed 06/2019
 


BASICS

  • Warts (verrucae) are benign growths that are confined to the epidermis. All warts are caused by the human papillomavirus (HPV). Warts can appear on any area of the skin or mucous membranes. Com...

DIAGNOSIS

  • Most often made on clinical appearance

  • Skin biopsy, if necessary

PHYSICAL EXAM

  • Distribution of warts is generally asymmetric, and lesions are often clustered or may appear in a linear configura...

TREATMENT

  • The abundance of therapeutic modalities described below is a reflection of the fact that none of them is uniformly or even clearly effective in trials. Placebo treatment response rate is sig...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

1/3 of the warts of epidermodysplasia may become malignant. 

PROGNOSIS

  • More often than not (especially in children), warts tend to “cure” themselv...

REFERENCES

1
Kwok CS, Gibbs S, Bennett C, et al. Topical treatments for cutaneous warts. Cochrane Database Syst Rev.  2012;(9):CD001781. [View Abstract on OvidMedline]
2
Choi Y, Kim DH, Jin SY, et a...

ADDITIONAL READING

  • Dasher DA, Burkhart CN, Morrell DS. Immunotherapy for childhood warts. Pediatr Ann.  2009;38(7):373–379. [View Abstract on OvidMedline]

  • Ohtsuki A, Hasegawa T, Hirasawa Y, et al....

CODES

ICD10

  • B07.9 Viral wart, unspecified

  • B07.0 Plantar wart

  • A63.0 Anogenital (venereal) warts

  • B07.8 Other viral warts

ICD9

  • 078.10 Viral warts, unspecified

  • 078.12 Plantar wart

  • 078.11 Condyloma acuminatum

  • 078.1...

CLINICAL PEARLS

  • No single therapy for warts is uniformly effective or superior; thus, treatment involves a certain amount of trial and error.

  • Because most warts in children tend to regress spontaneousl...

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