Warts Flashcards
Condyloma Acuminatum
anogenital warts that occure in the squamous epithemlium of the external genitalia and perianal area
this is an STD
Condyloma Acuminatum etiology
HPV 6 and 11
how bad is condyloma acuminatum?
will rarely turn to cancer unless immunocompromised
Mullosucum contagiosum
viral infxn caused by pox virus
MC clinical feature
distinct flesh colored or “pearly white” papultes, waxy, dome-shaped, w/ umbilicated centers
usually over the face/trunk/ extremeties
can produce a white curd like material
MC population
children-lesions occur on exposed parts
adults- genital and lower abdomen
immunocompromised-larger more wide spread lesions, head neck
MC transmission?
P2P
MC tx
self limited, but can use curettage, cryotherapy, electrodessication, or an acid or exfoliative peel (tretinoin, imiquimod/aldara)
verrucae?
caused by HPV
how are verrucae spread?
benign in healthy kids and spread via P2P or fomites
types of verrucae
vulgaris, verruca plana, verrucat plantaris, conlyloma acuminata
condyloma acuminatat
most common STD, HPV 6 or 11 and 16/18
condyloma acuminatata prevention
gardasil protects against all 4 strains, cervarix protects against HPV 16, 18
Condlyoma acuminatat CF
o Lobulated surface, cauliflower-like, usually gray or pink (HIGH risk lesions are often hyperpigmented
periungular
warts on nail matrix can be hard to treat
plantaris
plantar wart!! prefers pressure points.
o Verrucous surface, thrombosed capillaries, often multiple, coalescent (“mosaic warts”)
o Deeper than other warts
verruca plana
the flat wart
ag 5-20 yrs
verruca plana
o Prefers face, dorsal hands, wrists, knees
Commonly spread by shaving (beard, legs)
o Flat-topped surface, pink to brown, usually multiple, frequently in linear formation
wart treatment
depends on the type and location of wart.
cantharidin, podophyllin, retinoids, salicyclic acid, 5- FU, imiqumod, cietidine, squaric acid
canthardin MOA/ADR
beetle juics!!! blistering, risk of scarring, not for face
wart complications
pain, tenderness, limiations on mobility, cosmesis, malignant degenrations (HPV 16, 18)
