VERRUCA
PEDIS (Papilloma)
o viral inoculation
o
peak incidence = young adolescence
o
Commonly spread via communal activity
o
Auto-inoculation
Histopathology
o
Increased mitosis
o
Exaggerated dermo-epidermal junction
o
Capillaries drawn toward epidermis
o
Black specks which bleed on debridement
Clinical presentation
o
Size & shape can vary
o
Single, multiple or mosaic
o
Any surface
o
Overlying HK
o
Disruption of skin striations
o
Pain on medial & lateral compression
o
Pin point bleeding on debridement
Immune response and regression
o
Estimated 20% resolve in 6 months with majority resolving within
2 years
Treat
or not to treat
o
Site, size, chronicity, patient lifestyle, patient age.
Success
depends on:
o
Patient age, type, number, duration, host factor
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