Clinical Manifestations
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- Common warts (verruca vulgaris):
Warts may appear at any age but are most common in older
children and can be found in multiple or single forms.
Traditionally they are referred to as the "1000
day eruption" because they commonly last for approximately
that duration of time.
Warts will attack a specific area of the body and depending
on the local area's immunity the wart may grow.
Warts are most commonly found on the hand, fingers, feet,
toes, face and around the nails of the hands and feet.
They will be rough, round or oval, raised, light gray
or yellow, silk like, and most commonly found to be the
size of a soy bean.
Warts are commonly smaller and larger than this depending
on the type and growth rate.
- Flat warts:
Flat warts are caused by the same virus as common warts
but are different in shape and size.
They are usually rice sized round or oval papules which
are hard to the touch and may have a slight itch.
The onset is slow and is frequently found on the face,
forearm and dorsum of the hand.
Usually these warts are present on young females but
can also be found on males.
They look like flat papules are flesh colored or brown
and hard.
They vary in size from the size of a grain of rice to
that of a soybean.
Their surface is smooth to the touch and shiny.
- Soft warts: Small raised bright skin swellings
that resemble rat nipples.
They are contagious and may have a cottage cheese like
discharge.
Soft Warts are most commonly found on the body trunk
and limbs but may be present throughout the body.
They tend to occur in children.
Do Not Scratch - contagious
- Filiform warts (verruca filiformis): Usually
develop on the eyelids and around the neck of the middle-aged.
They are tender and grow to about 1 mm.
- Plantar warts : Occur on the soles of the feet
or between the toes or on the heel.
They are the size of a soybean or larger.
Their surface is often rough and uneven
When their superficial cornification is removed, the
deep papillary corneal layer is whitish and bleeds easily.
Tenderness is obvious.
- Periungual warts: Prickle-shaped hyperplasias
found on the edge of the nail body which may extend under
the nail, with gaps prone to develop pyogenic infection.
- Digitate warts: Shaped unevenly, usually appearing
on the scalp.
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