Wart Treatment

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SAMPLE EXCERPT
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PRE-PROCEDURE
INDICATIONS
  • Pain
  • Bleeding
  • Recurrent trauma
  • Lack of spontaneous resolution
  • Psychosocial sequelae
  • Employment repercussions (e.g., waitress)
  • Rapid growth or multiplication
  • Concerns regarding transmission
  • Persistence as a possible cause of malignancy
CONTRAINDICATIONS
  • Lack of patient compliance with treatment.
  • Cellulitis.
  • Allergy to treatment modality.
  • Ambiguous diagnosis.
  • Pregnancy is a contraindication for the use of bleomycin.
  • Young age is a relative contraindication for the use of bleomycin.
EQUIPMENT

Equipment will vary based on the approach used.

  • Supplies for local anesthesia
  • Petroleum jelly to protect normal skin, if needed
  • Cotton-tipped applicators, if needed
  • Scalpel with No. 15 blade or curette or pumice stone for removing callus/keratin
  • Specific agents for treatment, selected on the basis of the chosen treatment method
ANATOMY
  • Epithelium
    • Warts are an epithelial disease.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Most treatment methods require that only the lesion should be covered with an adhesive bandage.
  • For treatments that cause blistering or bleeding, a dressing should be placed.
  • Appropriate follow-up should be arranged for all patients.
  • Consider pain medication when indicated.
COMPLICATIONS
  • General complications that may happen after most of the described treatments are given include the following:
    • Allergic reaction
    • Infection
    • Blistering
    • Scarring: This is of particular concern on the plantar surface, where the scar can be persistently painful (analogous to walking on a stone in the shoe).
    • Persistence of lesion
    • Pain
    • Bleeding
    • Traumatic seeding and an increase in the number of warts
  • Complications applicable to specific techniques include the following:
    • Candida antigen: Allergic reaction (rash), adenopathy, persistence of the lesion
    • Caustic methods: Scarring, hyperpigmentation, hypopigmentation
    • Bleomycin: Pain, rarely Raynaud's phenomenon, after injection
    • Formalin: Sensitization to formalin
    • Electrocautery: Prolonged healing with an open sore, scarring, and pain
    • Electrodesiccation: Scarring
    • Infrared coagulation: Scarring
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