clinical features

Last edited 11/2018

  • common warts - verruca vulgaris
    • present as firm papules with a rough surface
    • commonly seen on the backs of the hands and fingers but can occur anywhere
  • wart on the sole of the foot, plantar wart (Verruca plantaris)
    • seen beneath pressure points
    • two types have been described
      • sharply defined rounded lesions with a rough keratotic surface, often painful
      • a plaque of closely grouped warts  - mosaic warts, usually not painful
    • may be misdiagnosed as callosities or corns
  • flat wart or plane wart (Verruca plana)
    • commonly seen in the face and at the backs of the hands
    • often small (under 5mm), round, slightly elevated numerous lesions with a smooth surface
    • Koebnerisation is relatively common
  • genital wart (Condyloma accuminatum)
    • discomfort, discharge or bleeding can be present
    • lesion can be
      • pearly, filiform, fungating, cauliflower or plaque-like 
      • quite smooth (particularly on penile shaft), verrucous, or lobulated
      • skin-coloured, erythematous or hyperpigmented (1,2)

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