Warts are common skin growths caused by human papillomavirus (HPV) that can develop anywhere on the body through direct skin contact. They most often appear as small, rough bumps on the hands and feet of children and young adults. While most warts resolve on their own within a few years, treatment options aim to remove or destroy warts and include cryotherapy, salicylic acid, imiquimod cream, laser removal, or homeopathic medicines depending on wart type and location.

1. TOPIC:
WARTS

2. INTRODUCTION
• A Wart is a growth that develops on the skin
and grows. It can grow inward or outward,
cause a lot of problems, or not have much of
an effect.
• It is generally a small, rough growth, typically
on a human’s hands or feet but often other
locations, that can resemble a cauliflower or a
solid blister.

3. EPIDERMIOLOGY
Frequency
• Warts are common worldwide and affect approximately 10% of
the population. In school-aged children, the prevalence is as
high as 10% to 20%. They are more common among immuno-
suppressed patients and meat handlers.
Age
• Warts can occur at any age. Although rare in infancy and early
childhood, prevalence increases among school-aged children
and peaks at 12 to 16 years.
Race
• Warts are twice as common in Whites as in Blacks or Asians.
Focal epithelial hyperplasia (Heck disease) is more prevalent in
Inuit and American Indians.
Sex
• The male-to-female ratio is approximately equal.

4. • Causative agent-
-Human papillomavirus
-Double stranded DNA
• Mode of Transmission-
-Sexually transmitted disease
(genital warts)
-Direct contact
(common warts)
• Portal of entry –
-Skin

5. SIGN & SYMPTOMS
• Small, fleshy, grainy bumps
• Flesh-colored, white, pink or tan
• Rough to the touch
• Sprinkled with black pinpoints, which are
small, clotted blood vessels.

6. RISK FACTOR
People at higher risk of developing common
warts include:
• Children and young adults, because their
bodies may not have built up immunity to the
virus.
• People with weakened immune systems, such
as those with HIV/AIDS or people who've had
organ transplants.

7. TYPES
• Plantar warts
• Flat warts (verruca Plana)
• Filiform warts.
• Genital warts
• Periungual warts

8. DIAGNOSIS
• A Dermatologist can easily diagnose a wart
and what type it is simply by looking at it. Very
rarely does a dermatologist need to perform a
skin biopsy to be certain.

9. DIFFERENTIAL DIAGNOSIS
• Molluscum contagiosum
• Seborrheic keratosis
• Lichen planus
• Squamous cell cancer
• Keratoacanthoma

10. General Management
 Majority of warts resolve spontaneously within
1–2 years.
 Many modalities available to treat warts, but no
single therapy is universally effective.
Choice of therapy include :
 Location of the wart,
 The extent of disease,
 The age and
 Immunologic status of the patient.

11. Cryotherapy with liquid nitrogen.
Keratolytic agents such as salicylic acid
plasters or solutions.
Genital warts, in-office application of a
podophyllin solution is moderately effective
Topical imiquimod has been approved for
treatment of genital warts.
Laser surgical procedures are also effective.

12. HOMOEOPATHIC MANAGEMENT
THUJA OCCIDENTALIS
Warts that are seedy ,large or pedunculated
Indicate the use of thuja occidentalis .
It is helpful for treating warts arising on any body
parts.
CAUSTICUM
It works very well in cases of warts that are large
and jagged.
Causticum is majorly useful for warts arising on
face,lips,nose and eyelids.

13. CONTINUE…..
NITRIC ACID
Nitric acid is an excellent homeopathic medicine
for warts that bleed easily. Bleeding from warts
may arise from touching or washing.
DULCAMARA
Medicine for warts on face that are large, flat or
smooth in nature.
ANTIMONIUM CRUDUM
Antimonium crudum is indicated for horny warts
on soles.