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Yibian
 Shen Yaozi 
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diseaseCommon Wart
aliasHPV
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bubble_chart Overview

Warts are benign epidermal growths caused by the human papillomavirus (HPV), commonly including common warts, plantar warts, flat warts, and condyloma acuminata in clinical practice.

bubble_chart Clinical Manifestations

  1. Generally, there are no subjective symptoms, and occasionally there is tenderness;
  2. The skin lesions are needle-tip to pea-sized, semicircular or polygonal papules with a rough surface and obvious keratinization. They feel slightly hard to the touch, appearing gray-yellow, dirty brown, or normal skin color, with a papillomatous proliferation, often presenting a flower-like or spiny surface;
  3. They commonly occur on the fingers, back of the hands, nail margins, and feet.

bubble_chart Diagnosis

  1. It commonly occurs on the fingers, back of the hands, nail margins, and feet;
  2. the skin lesions are hard, firm papules ranging from pinpoint to pea-sized, with a rough surface resembling flower buds or thorn-like projections;
  3. initially appearing as a single lesion, it can self-inoculate and multiply, often without subjective symptoms, and follows a chronic course.

bubble_chart Treatment Measures

Treatment principles

  1. Sharp spoon curettage or liquid nitrogen cryotherapy, CO2 laser therapy, surgical excision;
  2. application of crowfoot grass externally;
  3. topical application of 5-fluorouracil ointment or wart remover.

Medication principles

For stubborn common warts, immunotherapy or liquid nitrogen cryotherapy may be administered.

bubble_chart Cure Criteria

  1. Treatment: The protruding wart is completely eliminated.
  2. Improvement: The wart lesion is resolved.
  3. No cure: The wart remains unchanged from before treatment.

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