Présentation de l'éditeur
They are infectious by direct contact or indirect contact through contaminated surfaces from one person to the other. They can spread from one part of your own body to another.
It is the one of the common skin conditions.
It is never life threatening.
Who is affected by Skin warts?
Skin warts are more common in :
1. children than in adults
2. contact with a person with warts
3. families with a patient having warts
What are the Cause of Skin warts?
The human papilloma virus is the cause of skin warts.
There are 100 types of HPV which has been identified as causing skin or mucosal infections.
What are the types of Skin warts?
Common warts are benign swellings in the skin that are caused by human papillomavirus (HPV) infection.
1. Periungual wart
Periungual warts are common warts around or under the fingernail and toenail.
2. Plantar warts
Plantar warts are found on the pressure areas of the foot.
The pressure causes inward growth.
They can be single, seedling or mosaic.
3. Mosaic warts
Mosaic warts are plagues of closely set plantar warts
4. Plane warts
Plane warts are flat-topped smooth papules, light brown or skin flesh in color present on the face, legs, and hands often occurring in large numbers.
5. Filiform warts
Filiform warts appear as a single long narrow growth often on the eyelid or face
What are the Symptoms and signs of Skin warts?
Skin warts can present as:
1. Round or irregular raised swelling
2. Color may be like normal skin or light brown.
3. Surface is rough (may look like cauliflower) or smooth (usually on the face)
4. Border is sharply demarcated
5. Size varies from 2-10mm in diameter.
6. They are usually found on the fingers, elbows, knees, feet, scalp and face.
How do you make the Diagnosis of Skin warts?
1. Skin biopsy under local anesthesia
2. Small lesions can be totally removed
3. Larger ones are biopsied first and surgically removed later on
What are the complications of Skin warts?
Skin warts can be transmitted to the genital area.
There is a risk of genital warts which can cause cervical cancer in women
What is the treatment of Skin warts?
Many warts resolve spontaneously.
For those that persists or grow bigger, other treatments may be used:
Skin warts are removed by surgical excision.
2. Chemical treatment (a and b can be bought over the counter):
a. local therapy with Salicylic-acid preparations which dissolves the protein forming most of both the wart and the thick layer of dead skin above it.
You may have to apply the lotion daily on the wart for about 7 to 10 days before the skin drops off together with the wart
b. podophyllin lotion or ointment acts to burn off the wart chemically
c. 5-fluorouracil(a chemotherapy agent) needs prescription to apply to warts with good effect.
d. Imiquimod is a patient-applied cream used to treat skin warts, basal cell carcinoma
e. A new medicine called verge ointment may be used on genital warts as well as other warts
Electrotherapy by cautery of the warts kills the virus and destroy the tissues underneath which allow them to grow.
Aerosol wart treatments freeze warts at a temperature of minus 57 C.
This can kill the virus.
Dermatologists use liquid nitrogen which is considerably colder minus 196 C.
5. Laser treatment for difficult to remove warts
6. Immunotherapy, which gives you a shot of a substance that causes an allergic reaction and helps the wart go away
What is the prognosis of Skin warts?
Warts are generally harmless skin growths which may disappear on their own spontaneously.
Prognosis of majority of cases is good if there is complete removal.
Recurrences are common
TABLE OF CONTENT
Chapter 1 Warts
Chapter 2 Calluses
Chapter 3 Corns