Warts

Question 1

Condyloma Acuminatum

Answer 1

anogenital warts that occure in the squamous epithemlium of the external genitalia and perianal area

this is an STD

Question 2

Condyloma Acuminatum etiology

Answer 2

HPV 6 and 11

Question 3

how bad is condyloma acuminatum?

Answer 3

will rarely turn to cancer unless immunocompromised

Question 4

Mullosucum contagiosum

Answer 4

viral infxn caused by pox virus

Question 5

MC clinical feature

Answer 5

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

Question 6

MC population

Answer 6

children-lesions occur on exposed parts

adults- genital and lower abdomen

immunocompromised-larger more wide spread lesions, head neck

Question 7

MC transmission?

Answer 7

P2P

Question 8

MC tx

Answer 8

self limited, but can use curettage, cryotherapy, electrodessication, or an acid or exfoliative peel (tretinoin, imiquimod/aldara)

Question 9

verrucae?

Answer 9

caused by HPV

Question 10

how are verrucae spread?

Answer 10

benign in healthy kids and spread via P2P or fomites

Question 11

types of verrucae

Answer 11

vulgaris, verruca plana, verrucat plantaris, conlyloma acuminata

Question 12

condyloma acuminatat

Answer 12

most common STD, HPV 6 or 11 and 16/18

Question 13

condyloma acuminatata prevention

Answer 13

gardasil protects against all 4 strains, cervarix protects against HPV 16, 18

Question 14

Condlyoma acuminatat CF

Answer 14

o Lobulated surface, cauliflower-like, usually gray or pink (HIGH risk lesions are often hyperpigmented

Question 15

periungular

Answer 15

warts on nail matrix can be hard to treat

Question 16

plantaris

Answer 16

plantar wart!! prefers pressure points.

o Verrucous surface, thrombosed capillaries, often multiple, coalescent (“mosaic warts”)
o Deeper than other warts

Question 17

verruca plana

Answer 17

the flat wart

ag 5-20 yrs

Question 18

verruca plana

Answer 18

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

Question 19

wart treatment

Answer 19

depends on the type and location of wart.

cantharidin, podophyllin, retinoids, salicyclic acid, 5- FU, imiqumod, cietidine, squaric acid

Question 20

canthardin MOA/ADR

Answer 20

beetle juics!!! blistering, risk of scarring, not for face

Question 21

wart complications

Answer 21

pain, tenderness, limiations on mobility, cosmesis, malignant degenrations (HPV 16, 18)