Cutaneous warts

Dr Georgina Harvey will discuss cutaneous viral warts. Including common causes, diagnosis and treatment.

Topics

What is a viral wart?
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Who gets warts and how common are they?
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What causes cutaneous viral warts?
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What are the clinical features of viral warts?
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How are warts diagnosed?
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What differential diagnoses do we need to consider?
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Do we need to treat?
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What are the indications for treatment?
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What are the treatment options, and how effective are they?
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Cryotherapy practice
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Treatment failure – is this a red flag?
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HPV vaccination
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take-home messages
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Take home messages

Warts are common and generally don’t require treatment.
If a patient would like treatment of their wart or warts, ensure the management is non-scarring, given the likely spontaneous resolution of the wart with time.
Consider differential diagnoses during your evaluation, particularly skin cancers.

Resources

The efficacy of duct tape vs cryotherapy in the treatment of verruca vulgaris (the common wart). Arch Pediatr Adolesc Med (2002)
Viral Wart DermNet NZ
HPV Vaccine for Treatment of Recalcitrant Cutaneous Warts in Adults: A Retrospective Cohort Study. Dermatol Surg (2019)
Human papillomavirus (HPV) IMAC (2021)
Nonavalent Human Papilloma Virus Vaccine for the Treatment of Multiple Recalcitrant Warts: An Open Label Study. J Am Acad Dermatol (2022)

Patient Resources

Presenter

Georgina Harvey

Paediatric Dermatologist

Dr Georgina Harvey is a paediatric dermatologist at starship hospital and is a fellow of the Royal Australasian College of Dermatology, and a fellow of the Royal Australasian College of Physicians (paediatric division).