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cutaneous warts: an Evidence-Based approach to therapy

Source: www.aafp.org
Topic: Warts
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Sort Desciption: Warts are the cutaneous manifestations of human papillomavirus (HPV). Warts may exist in different forms given the epithelial surface and HPV type responsible for the infection. ...

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Warts are the cutaneous manifestations of human papillomavirus (HPV). Warts may exist in different forms given the epithelial surface and HPV type responsible for the infection. Common warts (Verruca vulgaris) (Figures 1 and 2), plantar warts (Verruca plantaris) (Figure 3), flat or planar warts (Verruca plana), and genital warts (Condyloma acuminata) are some of the clinical manifestations of HPV infection. 1 Warts are estimated to occur in up to 10 percent of children and young adults. The range of greatest incidence is between 12 and 16 years of age. 1 Warts occur with greater frequency in girls than in boys. The peak incidence is at 13 years of age in females and 14.5 years of age in males. 1 A study 2 examining the natural progression of warts indicated that warts will spontaneously clear after two years without treatment in 40 percent of children. Warts typically continue to increase in size and distribution and may become more resistant to treatment over time. 3 Children with treatment-resistant warts potentially may be reservoirs for HPV transmission. In addition, warts can be painful depending on their location (e.g., soles of the feet and near the nails) and viewed as socially unacceptable when located on visible areas (e.g., hands and face). 4 TherapiesandTreatmentStrategies Treating warts is a therapeutic challenge for family physicians. No single therapy has been proven effective at achieving complete remisCutaneous warts are a common presenting ...

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