Cutaneous warts

Question 1

What are cutaneous warts?

Answer 1

Small, rough growths caused by infection of keratinocytes with HPV

Question 2

What are risk factors for warts?

Answer 2

• Spread via direct skin to skin contact or via contaminated floors/surfaces
• Skin damaged
• Immunosuppresion

Question 3

How do warts present?

Answer 3

Common Warts: Firm, raised papules with a rough surface (common on knuckles, knees and fingers)
Periungual: Painful warts around the nails that can be painful and disturb nail growth
Palmar/Plantar wards: Grow on the palms and soles of the feet with central dark dots

Question 4

How are warts managed?

Answer 4

• Usually no treatment needed
• Treatment can be considered if painful. cosmetically unsightly or wart is persisting
• Treatment includes topical salicylic acid, cryotherapy
• Referral to derm needed for facial warts, immunocompromised individuals or persistent warts