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VIRAL WARTS
By: D. Gangadhar
4th sem
What is a viral wart?
• It’s a common benign lesion caused by
infection with Human Papilloma Virus (HPV)
• They are classified by site as being cutaneous
or mucosal
Clinical features of viral warts
• Cutaneous viral warts have hard keratinous
surface
• They may be yellow or brown
• Tiny red or black dots visible in wart are
Papillary capillaries
Complications of cutaneous viral warts
• Viral warts are infectious to patient and others
• Periungal warts can cause nail dystrophy and
destruction
• Pain due to plantar warts interferes with
walking and sporting activities
• In epidermodysplasia verruciformis the
specific HPV types can cause squamous cell
carcinoma
Diagnosis
• Pinpoint red or black dots are revealed when
wart is pared down.
• Patent capillaries cause pinpoint bleeding
• Tenderness is maximal with lateral pressure
for a plantar wart, whereas a corn or callus is
more tender with direct pressure
• Skin biopsy is sometimes required to rule out
squamous cell carcinoma
Differential diagnosis
Differential diagnosis for cutaneous viral wart
can include:
• Seborrhoeic keratosis
• Squamous cell carcinoma
• Plantar corn and callus
Treatment | Electrosurgery
• Electrosurgery (curettage and cautery) has
been used for large and resistant warts
• Under local anaesthetic the growth is pared
away and the base is burned
• The wound heals in 2 weeks or longer.
• This treatment leaves a permanent scar which
can be painful to walk if located on pressure
site
• Recurrent wart in a scar is hard to treat
Treatment | Topical
• Topical treatment includes pastes or patches
containing salicylic acid, podophyllin, or
similar compounds which work by removing
the surface skin cells
• Applied once daily to the wart. 70% of warts
resolve within 12 weeks of daily applications
Outcome of Viral warts
• No treatment is universally effective at
eradicating viral warts
• In children even without treatment, 50%
disappear within 6 months and 90% in 2 years
• They are likely to recur in immunosuppressed
patients and tobacco smokers
• Vaccines against HPV are able to prevent
anogenital warts
Thank you

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Viral warts

  • 1. VIRAL WARTS By: D. Gangadhar 4th sem
  • 2. What is a viral wart? • It’s a common benign lesion caused by infection with Human Papilloma Virus (HPV) • They are classified by site as being cutaneous or mucosal
  • 3. Clinical features of viral warts • Cutaneous viral warts have hard keratinous surface • They may be yellow or brown • Tiny red or black dots visible in wart are Papillary capillaries
  • 4. Complications of cutaneous viral warts • Viral warts are infectious to patient and others • Periungal warts can cause nail dystrophy and destruction • Pain due to plantar warts interferes with walking and sporting activities • In epidermodysplasia verruciformis the specific HPV types can cause squamous cell carcinoma
  • 5. Diagnosis • Pinpoint red or black dots are revealed when wart is pared down. • Patent capillaries cause pinpoint bleeding • Tenderness is maximal with lateral pressure for a plantar wart, whereas a corn or callus is more tender with direct pressure • Skin biopsy is sometimes required to rule out squamous cell carcinoma
  • 6. Differential diagnosis Differential diagnosis for cutaneous viral wart can include: • Seborrhoeic keratosis • Squamous cell carcinoma • Plantar corn and callus
  • 7. Treatment | Electrosurgery • Electrosurgery (curettage and cautery) has been used for large and resistant warts • Under local anaesthetic the growth is pared away and the base is burned • The wound heals in 2 weeks or longer. • This treatment leaves a permanent scar which can be painful to walk if located on pressure site • Recurrent wart in a scar is hard to treat
  • 8. Treatment | Topical • Topical treatment includes pastes or patches containing salicylic acid, podophyllin, or similar compounds which work by removing the surface skin cells • Applied once daily to the wart. 70% of warts resolve within 12 weeks of daily applications
  • 9. Outcome of Viral warts • No treatment is universally effective at eradicating viral warts • In children even without treatment, 50% disappear within 6 months and 90% in 2 years • They are likely to recur in immunosuppressed patients and tobacco smokers • Vaccines against HPV are able to prevent anogenital warts