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ISSN 2063-5346
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Brief Overview about Verruca Plana

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Fatma Ali Elmabrok Omran , Ahmad Nofal, Hagar Nofal
» doi: 10.31838/ecb/2023.12.1.063

Abstract

Viral Warts are benign epidermal tumors of the skin and mucosal surface caused by human papillomaviruses (HPVs). HPV infects the cornified stratified squamous epithelium of skin and the uncornified mucous membrane.Warts are classified into several types according to the site and the form of the lesion including; verruca vulgaris, verruca plana (VP), verruca plantaris and condyloma acuminatum.Warts are common skin infections with worldwide distribution. It is estimated that 40% of world population is infected with HPV; in 7% -12% of them, clinical lesions develop.Viral warts representing about 10–20 % of visits to dermatologists. The prevalence of which reaches up to 33 % among children and about 3.5 % among adults. Two-thirds of pediatric patients experience Spontaneous remission within two years,, although observational studies reported that about 50 % of cutaneous warts may resolve spontaneously within a year, many patients seek treatment because of social stigma or discomfort.The clinical presentation is largely determined by the location of the warts. In regions without mechanical pressure, such as the fingers, the dorsa of the hands and feet, the arms, the legs or the trunk, lesions present as skin-colored or yellowish-gray, dome-formed nodules with a papillomatous and keratotic (“verruciform”) surface. Typical findings also include black dots, which correspond to the HPV-induced papillary necrosis seen on histology. Dermoscopy is non invasive diagnostic method can assist identify to different type of skin lesion ,such as cancer, dermatitis. Plane warts poses a therapeutic challenge since they persist for a long time, they are generally located in cosmetically important areas, and they are resistant to therapy. Plane warts treatment strategy should balance between the efficacy of treatment and the side effects associated with it since aggressive approaches may result in scarring.

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