Papular Disease Flashcards
Verruca Vulgaris
caused by which viruses?
human papilloma virus
Verruca Vulgaris
pathophys
HPV infected keritinized skin causing excessive proliferation and retention of the stratum corneum
Verruca Vulgaris
Types
3
- common (vulgaris)
- plantar (plantaris)
- flat (plana)
Verruca Vulgaris
describe common infection
- vulgaris
- common on hands
Verruca Vulgaris
where are flat infections found?
face, hands, knees, shins
Verruca Vulgaris
clinical presentation
- firm, hyperkeratotic papules between 1-10mm in size
- red/brown punctuations
Verruca Vulgaris
hallmark sx
PPP- pathognomonic
THROMBOSED CAPILLARIES
Verruca Vulgaris
dx
clinical
Verruca Vulgaris
absolutely don’t ____ to dx?
BIOPSY
Verruca Vulgaris
tx
- most immunocompetent pts will resolve within 2 yrs
- topical: OTC salicylic acid
- cryotherapy possible
Condyloma Accuminata
caused by what infection?
HPV
Condyloma Accuminata
what can these become if left untreated?
squamous cell carcinoma
Condyloma Accuminata
clinical presentation
3 components
- varying in presentation (small, flat topped painless raised papules to large, soft, flashy, cauliflower like lesions and clusters)
- ranging from skin colored to pink/red
- lesions persist for months; they may spontaneously resolve, remain unchanged, or grow if left untreated
Condyloma Accuminata
dx
- clinical
- biopsy can be done
Condyloma Accuminata
what is seen on biopsy?
3 things
- acanthosis w/ overlying hyperplastic hyperkeratosis
- koilicytotic squamous cells
- atypical keritanocytes w/ papillomatosis hyperplasia