Warts / Molluscum
Warts are growths on the skin caused by the human papillomavirus (HPV). They are very common, particularly in school-age children. Warts can spread by direct contact to other parts of the body or to others. They are painless unless they appear on the soles of the feet.
Warts are sometimes described by their appearance or location:
- Common warts (verruca vulgaris) can appear anywhere on dry skin, but they are more commonly seen on the hands. They can appear in clusters.
- Flat warts are often on the face or legs. They are smaller and can be difficult to see.
- Plantar warts (foot warts) are located on the soles of the feet. The weight of the balls of the feet may make them painful.
WHAT WE DO
- Cyrosurgery – Freezing
- Shave Removal
- Canthardin – “Blister Beetle Juice”
- Topicals – Salicyclic acid, Imoquimid, Tazorac®, 5-Fluorouracil, Veregen®
- Chemical agents – DNCB & Squaric Acid
- Candida yeast injections
Multiple types of treatments may be needed. Warts can be resistant to therapy and different treatments work differently on different people. Often multiple modalities are needed and occasionally may require multiple visits for difficult to treat warts.
Molluscum is caused by a poxvirus. These are small, painless, pearl-like bumps that may appear almost anywhere on the body. They are common in children and can be spread from person to person. Molluscum can eventually resolve on their own but sometimes treatment is required to prevent spreading. These often require multiple visits when the lesions are widespread. Often patients continue to develop new lesions as old ones are being treated. It is important to not share towels or clothing as these are contagious.
WHAT WE DO
- Currettage or scraping
- Topicals such as Imiquomid or Tretinoin
- Canthrone (blister beetle juice)