Warts

Question 1

Seborrhoeic Wart Definition, AKA?

Answer 1

• AKA sebhorroeic keratoses

- Common benign, hyperkeratotic skin lesions associated with ageing

Question 2

Seborrhoeic Wart Epidemiology

Answer 2

• Increases with age

- Trunk and face most often affected

Question 3

Seborrhoeic Wart Presentation

Answer 3

• Flat topped, warty lesions that appear stuck on
• Usually pigmented
• Well-circumscribed border
• Usually asymptomatic
• Gyri and sulci, fingerprint like

Question 4

Seborrhoeic Wart Differentials

Answer 4

• Malignant melanoma
• Verruca
• Condyloma acuminatum

Question 5

Seborrhoeic Wart Associated Disease

Answer 5

• Not pre-malignant

- Leser-Trélat

Question 6

Seborrhoeic Wart Management

Answer 6

• Reassurance
• Removal if cosmetic dislike or irritation (cryotherapy, curettage and cautery or shave excision)
• Usually managed in primary care

Question 7

Viral Warts Definition and Aetiology

Answer 7

• Benign warts caused by HPV

- Trauma and wetness contribute to spread (if wart is damaged, more likely to spread)

Question 8

Viral Warts Appearance and Subtypes

Answer 8

• Classified according to their appearance or site
• Four subtypes
• Common wart (papule and nodules with keratitis and papillomatous surface, can occur anywhere, most commonly hands in young people)
• Flat wart (flat topped wart)
• Plantar wart (see verruca)
• Genital wart (condyloma acuminatum)
• Also periungual, filiform and mosaic warts

Question 9

Viral Warts Differentials

Answer 9

• Actinic keratosis
• Cutaneous horn
• Lichen planus

Question 10

Viral Warts Management

Answer 10

• No treatment if asymptomatic and non immunocompromised
• Salicylic acid
• Cryotherapy
• Combination
• Many other options
• Avoid trauma to the area e.g. biting

Question 11

Viral Warts Refer

Answer 11

• Resistant
• Multiple warts in immunocompromised patient
• Facial warts

Question 12

Verrucae Definition

Answer 12

-Hyperkeratotic lesions over pressure areas of feet, usually self limiting

Question 13

Verrucae Aetiology

Answer 13

• HPV
• Direct contact with individual
• Damaged or wet skin

Question 14

Verrucae Presentation

Answer 14

• Firm, hyperkeratotic lesions
• May have minor pinpoint petechiae, usually found in pressure areas
• May cause pain
• May cause leg or back pain from altered posture or gait disturbance
• More common in immunosuppressed

Question 15

Verrucae Differentials

Answer 15

• Corns
• Calluses
• Black heel

Question 16

Verrucae Management

Answer 16

• Treatment not necessarily required if not painful
• Salicylic acid
• Cryotherapy
• Other treatments