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pathogenesis of warts human papilloma virus
how do you know it is a wart (varuccae) warts obscure normal skin lines, frequently occur in sites of skin trauma, warts unlike callouses, demonstrate necrotic capillaries (patients think these are the seeds)
the common wart verruca vulgaris
prevalence is 5% in children, typical patient aged 5-20 years, prefers hands, verrucous surface, thrombosed capillaries, loss of dermatoglyphics verruca vulgaris
the flat wart verruca plana
typical patient aged 5-20 years, prefers face/dorsal hands/wrists/knees, commonly spread by shaving, flat topped surface, pink to brown, usually multiple, frequently in linear formation verruca plana
prefers pressure points on the feet, verrucous surface, thrombosed capillaries, often multiple, coalescent (mosaic warts) verruca plantaris
the genital wart condyloma acuminata
low risk agents for condyloma acuminata HPV 6 or 11
high risk agents for condyloma acuminata HPV 16 or 18
condyloma acuminata is the most common __ with 1 million new cases per year STD
areas of distribution for condyloma acuminata cervix, vulvovaginal skin, anus, penis, perianal skin
appearance of condyloma acuminata lobulated surface, cauliflower like, usually gray or pink
appearacne of high risk condyloma acuminata hyperpigmented
prevention of condyloma acuminata Gardasil
what do most wart treatments actually do kill infected tissue, but not the HPV
treat warts with cryotherapy until white halo forms and lingers for 10 seconds
can repeart cryotherapy in __ weeks 2-4
how many freeze-thaw cycles can be done 2
physical destruction of warts laser, cautery, duct tape occlusion, excision
chemical destruction of warts cantharadrin (beetle juice), podophyllin, retinoids, salacylic acid, 5-FU
immunomodulation of warts imiquimod (Aldara), cimetidine, squaric acid
warts may occur in greater number and last longer in __ immunosuppressed persons
what to suspect when condyloma acuminate are seen in children sexual child abuse
genital warts __ after treatment frequently recur
cutaneous HPV infections will likely __ spontaneously resolve
Created by: Adam Barnard Adam Barnard