Wart

Small, rough growth resembling a cauliflower or a solid blister

For other uses, see Wart (disambiguation).

Medical condition

Wart

Other names| Verrucae,[1] papillomas[2]
A large number of warts on the big toe
Specialty| Dermatology
Symptoms| skin growth usually occurring on the hands, feet, or genitals[1][3]
Duration| Months to years[1]
Causes| Human papillomavirus[1]
Risk factors| Public showers and pools, eczema[3]
Differential diagnosis| Callus, seborrheic keratosis, squamous cell carcinoma[4]
Prevention| Avoiding skin contact with infected individual, not walking barefoot in public areas, having safe sex or sexual abstinence
Treatment| Salicylic acid, cryotherapy,[1] surgical removal
Frequency| Very common[2]

Warts are non-cancerous viral growths usually occurring on the hands and feet but which can also affect other locations, such as the genitals or face.[1][3] One or many warts may appear.[3] They are distinguished from cancerous tumors as they are caused by a viral infection, such as a human papillomavirus, rather than a cancer growth.[3]

Factors that increase the risk include the use of public showers and pools, working with meat, eczema, and a weak immune system.[1][3] The virus is believed to infect the host through the entrance of a skin wound.[1] A number of types exist, including plantar warts, "filiform warts", and genital warts.[3] Genital warts are often sexually transmitted.[5]

Without treatment, most types of warts resolve in months to years.[1] A number of treatments may speed resolution, including salicylic acid applied to the skin and cryotherapy.[1] In those who are otherwise healthy, they do not typically result in significant problems.[1] Treatment of genital warts differs from that of other types.[3] Infection of a virus, such as HIV, can cause warts. This is prevented through careful handling of needles or sharp objects that could infect the individual through physical trauma of the skin, plus the practice of safe sex, and sexual abstinence. Viruses that are not sexually transmitted, or are not transmitted in the case of a wart, can be prevented through a number of behaviors, such as wearing shoes outdoors and avoiding unsanitized areas without proper shoes or clothing, such as public restrooms or locker rooms.

Warts are very common, with most people being infected at some point in their lives.[2] The estimated current rate of non-genital warts among the general population is 1–13%.[1] They are more common among young people.[1] Prior to widespread adoption of the HPV vaccine, the estimated rate of genital warts in sexually active women was 12%.[5] Warts have been described as far back as 400 BC by Hippocrates.[4]

## Types

[edit]

A filiform wart on the eyelid.

A range of types of wart have been identified, varying in shape and site affected, as well as the type of human papillomavirus involved.[6][7] These include:

* Common wart (verruca vulgaris),[8] a raised wart with a roughened surface, most common on hands, but can grow anywhere on the body. Sometimes known as a Palmer wart or Junior wart.
* Flat wart (verruca plana), a small, smooth flattened wart, flesh-coloured, which can occur in large numbers; most common on the face, neck, hands, wrists, and knees.
* Filiform or digitate wart, a thread- or finger-like wart, most common on the face, especially near the eyelids and lips.
* Genital wart (venereal wart, condyloma acuminatum, verruca acuminata), a wart that occurs on the genitalia.
* Periungual wart, a cauliflower-like cluster of warts that occurs around the nails.
* Plantar wart (verruca, verruca plantaris), a hard, sometimes painful lump, often with multiple black specks in the center; usually only found on pressure points on the soles of the feet.
* Mosaic wart, a group of tightly clustered plantar-type warts, commonly on the hands or soles of the feet.

## Cause

[edit]

Main article: Human papilloma virus

Warts are caused by the human papillomavirus (HPV). There are about 130 known types of human papillomaviruses.[9] HPV infects the squamous epithelium, usually of the skin or genitals, but each HPV type is typically only able to infect a few specific areas of the body. Many HPV types can produce a benign growth, often called a "wart" or "papilloma", in the area they infect.[10] Many of the more common HPV and wart types are listed below.

* Common warts – HPV types 2 and 4 (most common); also types 1, 3, 26, 29, and 57 and others.
* Cancers and genital dysplasia – "high-risk" HPV types are associated with cancers, notably cervical cancer, and can also cause some vulvar, vaginal,[11] penile, anal[12] and some oropharyngeal cancers. "Low-risk" types are associated with warts or other conditions.[13][14]
* High-risk: 16, 18 (cause the most cervical cancer); also 31, 33, 35, 39, 45, 52, 58, 59, and others.
* Plantar warts (verruca) – HPV type 1 (most common); also types 2, 3, 4, 27, 28, and 58[citation needed] and others.
* Anogenital warts (condylomata acuminata or venereal warts) – HPV types 6 and 11 (most common); also types 42, 44 and others.[15]
* Low-risk: 6, 11 (most common); also 13, 44, 40, 43, 42, 54, 61, 72, 81, 89, and others.
* Verruca plana (flat warts) – HPV types 3, 10, and 28.
* Butcher's warts – HPV type 7.
* Heck's disease (focal epithelial hyperplasia) – HPV types 13 and 32.

## Pathophysiology

[edit]

Common warts have a characteristic appearance under the microscope. They have thickening of the stratum corneum (hyperkeratosis), thickening of the stratum spinosum (acanthosis), thickening of the stratum granulosum, rete ridge elongation, and large blood vessels at the dermoepidermal junction.[citation needed]

## Diagnosis

[edit]

Micrograph (H&E stain) of a common wart (verruca vulgaris) showing the characteristic features (hyperkeratosis, acanthosis, hypergranulosis, rete ridge elongation, and large blood vessels at the dermoepidermal junction)

On dermatoscopic examination, warts will commonly have fingerlike or knoblike extensions.[16]

## Prevention

[edit]

Gardasil 6 is an HPV vaccine aimed at preventing cervical cancers and genital warts. Gardasil is designed to prevent infection with HPV types 16, 18, 6, and 11. HPV types 16 and 18 currently cause about 70% of cervical cancer cases,[13][14] and also cause some vulvar, vaginal,[11] penile and anal cancers.[12] HPV types 6 and 11 are responsible for 90% of documented cases of genital warts.[17]

Gardasil 9 protects against HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58.[18]

HPV vaccines do not currently protect against the virus strains responsible for plantar warts (verrucae).[19]

### Disinfection

[edit]

The virus is relatively hardy and immune to many common disinfectants. Exposure to 90% ethanol for at least 1 minute, 2% glutaraldehyde,[citation needed] 30% Savlon, and/or 1% sodium hypochlorite can disinfect the pathogen.[20]

The virus is resistant to drying and heat, but killed by 100 °C (212 °F) temperature and ultraviolet radiation.[20]

## Treatment

[edit]

Further information: Plantar wart § Treatment

There are many treatments and procedures associated with wart removal.[21] A review of various skin wart treatments concluded that topical treatments containing salicylic acid were more effective than placebo.[22] Cryotherapy appears to be as effective as salicylic acid, but there have been fewer trials.[22]

### Medication

[edit]

* Salicylic acid can be prescribed by a dermatologist in a higher concentration than that found in over-the-counter products. Several over-the-counter products are readily available at pharmacies and supermarkets of roughly two types: adhesive pads treated with salicylic acid, and bottled concentrated salicylic acid and lactic acid solution.
* Fluorouracil — Fluorouracil cream, a chemotherapy agent sometimes used to treat skin cancer, can be used on particularly resistant warts, by blocking viral DNA and RNA production and repair.[23]
* Imiquimod is a topical cream that helps the body's immune system fight the wart virus by encouraging interferon production. It has been approved by the U.S. Food and Drug Administration (FDA) for genital warts.[24]
* Cantharidin, found naturally in the bodies of many members of the beetle family Meloidae, causes dermal blistering. It is used either by itself or compounded with podophyllin. Not FDA approved, but available through Canada or select US compounding pharmacies.
* Bleomycin — A more potent chemotherapy drug, can be injected into deep warts, destroying the viral DNA or RNA. Bleomycin is notably not US FDA approved for this purpose. Possible side effects include necrosis of the digits, nail loss and Raynaud syndrome. The usual treatment is one or two injections.[25][26]
* Dinitrochlorobenzene (DNCB), like salicylic acid, is applied directly to the wart. Studies show this method is effective with a cure rate of 80%.[medical citation needed] But DNCB must be used much more cautiously than salicylic acid; the chemical is known to cause genetic mutations, so it must be administered by a physician. This drug induces an allergic immune response, resulting in inflammation that wards off the wart-causing virus.[27]
* Cidofovir is an antiviral drug which is injected into HPV lesions within the larynx (laryngeal papillomatosis) as an experimental treatment.[28]
* Verrutop verruca treatment is a topical solution made from a combination of organic acids, inorganic acids, and metal ions. This solution causes the production of nitrites, which act to denature viral proteins and mummify the wart tissue. The difference between Verrutop and other acid treatments is that it does not damage the surrounding skin.
* Another product available over-the-counter that can aid in wart removal is silver nitrate in the form of a caustic pencil, which is also available at drug stores. In a placebo-controlled study of 70 patients, silver nitrate given over nine days resulted in clearance of all warts in 43% and improvement in warts in 26% one month after treatment compared to 11% and 14%, respectively, in the placebo group.[29] The instructions must be followed to minimize staining of skin and clothing. Occasionally, pigmented scars may develop.
* Trichloroacetic acid can be used to treat warts if salicylic acid or cryotherapy fail or are not available. It requires repeat treatments every week or so. Side effects are burning and stinging.[30]

* Two viral warts on a middle finger, being treated with a mixture of acids (like salicylic acid) to remove them. A white precipitate forms on the area where the product was applied.

* Throat warts before and after carbon dioxide laser treatment.

### Procedures

[edit]

Liquid nitrogen spray tank

* Keratolysis, of dead surface skin cells usually using salicylic acid, blistering agents, immune system modifiers ("immunomodulators"), or formaldehyde, often with mechanical paring of the wart with a pumice stone, blade etc.[31]
* Electrodesiccation[32]
* Microwave Treatment[33][34][35][36][37][38]
* Cryosurgery or cryotherapy, which involves freezing the wart (generally with liquid nitrogen),[39] creating a blister between the wart and epidermal layer after which the wart and the surrounding dead skin fall off. An average of three to four treatments are required for warts on thin skin. Warts on calloused skin like plantar warts might take dozens or more treatments.[40]
* Surgical curettage of the wart
* Laser treatment – often with a pulse dye laser or carbon dioxide (CO2) laser. Pulse dye lasers (wavelength 582 nm) work by selective absorption by blood cells (specifically hemoglobin). CO2 lasers work by selective absorption by water molecules. Pulse dye lasers are less destructive and more likely to heal without scarring. CO2 laser works by vaporizing and destroying tissue and skin. Laser treatments can be painful, expensive (though covered by many insurance plans), and not extensively scarring when used appropriately. CO2 lasers will require local anaesthetic. Pulse dye laser treatment does not need conscious sedation or local anesthetic. It takes 2 to 4 treatments but can be many more for extreme cases. Typically, 10–14 days are required between treatments. Preventive measures are important.[40]
* Infrared coagulator – an intense source of infrared light in a small beam like a laser. This works essentially on the same principle as laser treatment. It is less expensive. Like the laser, it can cause blistering, pain and scarring.[41]
* Intralesional immunotherapy with purified candida, MMR, and tuberculin (PPD) protein appears safe and effective.[42][43]
* Duct tape occlusion therapy involves placing a piece of duct tape over the wart. The mechanism of action of this technique still remains unknown. Despite several trials, evidence for the efficacy of duct tape therapy is inconclusive.[44][45] Despite the mixed evidence for efficacy, the simplicity of the method and its limited side-effects leads some researchers to be reluctant to dismiss it.[46]
* No intervention. Spontaneous resolution within a few years can be recommended.[47]

This image shows throat warts (papillomas) before treatment and during the treatment process. Left to right: warts prior to treatment, warts on the day of silver nitrate treatment, warts two days after treatment, warts four days after treatment, warts six days after treatment, and warts remaining nine days after treatment.

### Alternative medicine

[edit]

Despite their appearance, toads do not cause warts

Daily application of the latex of Chelidonium majus is a traditional treatment.[48]

The acrid yellow sap of Greater Celandine is used as a traditional wart remedy.[49]

According to English folk belief, touching toads causes warts; according to a German belief, touching a toad under a full moon cures warts.[50] The most common Northern Hemisphere toads have glands that protrude from their skin that superficially resemble warts. Warts are caused by a virus, and toads do not harbor it.[51] A variety of traditional folk remedies and rituals claim to be able to remove warts.

In The Adventures of Tom Sawyer, Mark Twain has his characters discuss a variety of such remedies. Tom Sawyer proposes "spunk-water" (or "stump-water", the water collecting in the hollow of a tree stump) as a remedy for warts on the hand. You put your hand into the water at midnight and say:

> Barley-corn, barley-corn, injun-meal shorts,
>  Spunk-water, spunk-water, swaller these warts

You then "walk away quick, eleven steps, with your eyes shut, and then turn around three times and walk home without speaking to anybody. Because if you speak the charm's busted." This is given as an example of Huckleberry Finn's planned remedy, which involves throwing a dead cat into a graveyard as a devil or devils comes to collect a recently buried wicked person. Another remedy involved splitting a bean, drawing blood from the wart and putting it on one of the halves, and burying that half at a crossroads at midnight. The theory of operation is that the blood on the buried bean will draw away the wart.[52] Twain is recognized as an early collector and recorder of genuine American folklore.[53]

Similar practices are recorded elsewhere. In Louisiana, one remedy for warts involves rubbing the wart with a potato, which is then buried; when the "buried potato dries up, the wart will be cured".[54] Another remedy similar to Twain's is reported from Northern Ireland, where water from a specific well on Rathlin Island is credited with the power to cure warts.[55]

## History

[edit]

A ~7 mm plantar wart surgically removed from the sole of a person's foot after other treatments failed.

Surviving ancient medical texts show that warts were a documented disease since at least the time of Hippocrates, who lived c. 460 – c. 370 BC. In the book De Medecia by the Roman physician Aulus Cornelius Celsus, who lived c. 25 BC – c. 50 AD, different types of warts were described. Celsus described Myrmecia, today recognized as plantar wart, and categorized acrochordon (a skin tag) as a wart. In the 13th century, warts were described in books published by the surgeons William of Saliceto and Lanfranc of Milan. The word verruca to describe a wart was introduced by the physician Daniel Sennert, who described warts in his 1636 book Hypomnemata physicae.[56]

The cause of warts was initially disputed in the medical profession. In the early 18th century the physician Daniel Turner, who published the first book on dermatology, suggested that warts were caused by damaged nerves close to the skin. In the mid-18th century, the surgeon John Hunter popularized the belief that warts were caused by a bacterial syphilis infection. The surgeon Benjamin Bell documented that warts were caused by a disease entirely unrelated to syphilis, and established a causal link between warts and cancer. In the 19th century, the chief physician of Verona Hospital established a link between warts and cervical cancer. But in 1874 it was noted by the dermatologist Ferdinand Ritter von Hebra that while various theories were advanced by the medical profession, the "influences causing warts are still very obscure".[56]

In 1907 the physician Giuseppe Ciuffo was the first to demonstrate that warts were caused by a virus infection. In 1976 the virologist Harald zur Hausen was the first to discover that warts were caused by the human papillomavirus (HPV). His continuous research established the evidence necessary to develop a HPV vaccine, which first became available in 2006.[56]

## Other animals

[edit]

See also: Papillomavirus and Bovine papillomavirus

## References

[edit]

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30. ^ "Common warts - Diagnosis and treatment - Mayo Clinic". www.mayoclinic.org. Retrieved 6 November 2022.
31. ^ Warts Archived 17 May 2008 at the Wayback Machine at About.com
32. ^ Stone KM, Becker TM, Hadgu A, Kraus SJ (1990). "Treatment of external genital warts: A randomized clinical trial comparing podophyllin, cryotherapy, and electrodesiccation". Genitourinary Medicine. 66 (1): 16–19. doi:10.1136/sti.66.1.16. PMC 1194434. PMID 2179111.
33. ^ Solomon K, Yip V (December 2023). "The novel treatment of children with viral warts using microwave technology". Skin Health and Disease. 3 (6): e291. doi:10.1002/ski2.291. ISSN 2690-442X. PMC 10690651. PMID 38047251.
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35. ^ Bristow IR, Webb C, Ardern-Jones MR (27 July 2017). "The Successful Use of a Novel Microwave Device in the Treatment of a Plantar Wart". Case Reports in Dermatology. 9 (2): 102–107. doi:10.1159/000477377. ISSN 1662-6567. PMC 5624246. PMID 29033812.
36. ^ Gupta AK, Wang T, Cooper EA, Conenello RM, Bristow IR (October 2023). "The treatment of plantar warts using microwave—A review of 85 consecutive cases in the United States". Journal of Cosmetic Dermatology. 22 (10): 2729–2736. doi:10.1111/jocd.15802. ISSN 1473-2130. PMID 37340590.
37. ^ Dhinsa A, Philip G, Daknish F, Amin S, Vlahovic T (September 2023). "42057 Microwave Therapy for Plantar Warts: A Chart Review". Journal of the American Academy of Dermatology. 89 (3): AB64. doi:10.1016/j.jaad.2023.07.259. ISSN 0190-9622.
38. ^ "The Royal College of Podiatry". College of Podiatry. Retrieved 22 March 2024.
39. ^ "Cryotherapy for Warts". WebMD. Archived from the original on 9 July 2016.
40. ^ a b Bacelieri R, Johnson SM (2005). "Cutaneous warts: An evidence-based approach to therapy". American Family Physician. 72 (4): 647–52. PMID 16127954. Archived from the original on 21 April 2014.
41. ^ Halasz CL (1994). "Treatment of common warts using the infrared coagulator". The Journal of Dermatologic Surgery and Oncology. 20 (4): 252–56. doi:10.1111/j.1524-4725.1994.tb01620.x. PMID 8163746.
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43. ^ Salman S (2019). "Intralesional Immunotherapy for the Treatment of Warts: A Network Meta-analysis". Journal of the American Academy of Dermatology. 80 (4): 922–930.e4. doi:10.1016/j.jaad.2018.07.003. PMID 30003983. S2CID 51617793 - via Elsevier Science Direct.
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45. ^ Kwok CS, Gibbs S, Bennett C, Holland R, Abbott R (12 September 2012). "Topical treatments for cutaneous warts". Cochrane Database Syst Rev. 9 (9): CD001781. doi:10.1002/14651858.CD001781.pub3. PMC 8101088. PMID 22972052.
46. ^ Stubbings A, Wacogne I (September 2011). "Question 3. What is the efficacy of duct tape as a treatment for verruca vulgaris?". Archives of Disease in Childhood. 96 (9): 897–99. doi:10.1136/archdischild-2011-300533. PMID 21836182. S2CID 206853952.
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56. ^ a b c Karamanou M, Agapitos E, Kousoulis A, Androutsos G (17 August 2010). "From the humble wart to HPV: a fascinating story throughout centuries". Oncology Reviews. 4 (3): 133–135. doi:10.1007/s12156-010-0060-1. S2CID 72238300.

## External links

[edit]

Look up wart in Wiktionary, the free dictionary.

* Wart photo library. Archived 12 October 2007 at the Wayback Machine. Dermnet.com.

Classification|

* ICD-10: B07
* ICD-9-CM: 078.1
* MeSH: D014860
* DiseasesDB: 28410

|

External resources|

* MedlinePlus: 000885
* eMedicine: emerg/641
* Patient UK: Wart

* v
* t
* e

Diseases of the skin and appendages by morphology

Growths|

| Epidermal|

* Wart
* Callus
* Seborrheic keratosis
* Acrochordon
* Molluscum contagiosum
* Actinic keratosis
* Squamous-cell carcinoma
* Basal-cell carcinoma
* Merkel-cell carcinoma
* Nevus sebaceous
* Trichoepithelioma

|

Pigmented|

* Freckles
* Lentigo
* Melasma
* Nevus
* Melanoma

Dermal and
subcutaneous|

* Epidermal inclusion cyst
* Hemangioma
* Dermatofibroma (benign fibrous histiocytoma)
* Keloid
* Lipoma
* Neurofibroma
* Xanthoma
* Kaposi's sarcoma
* Infantile digital fibromatosis
* Granular cell tumor
* Leiomyoma
* Lymphangioma circumscriptum
* Myxoid cyst

Rashes|

| With
epidermal
involvement|

| Eczematous|

* Contact dermatitis
* Atopic dermatitis
* Seborrheic dermatitis
* Stasis dermatitis
* Lichen simplex chronicus
* Darier's disease
* Glucagonoma syndrome
* Langerhans cell histiocytosis
* Lichen sclerosus
* Pemphigus foliaceus
* Wiskott–Aldrich syndrome
* Zinc deficiency

|

Scaling|

* Psoriasis
* Tinea (Corporis
* Cruris
* Pedis
* Manuum
* Faciei)
* Pityriasis rosea
* Secondary syphilis
* Mycosis fungoides
* Systemic lupus erythematosus
* Pityriasis rubra pilaris
* Parapsoriasis
* Ichthyosis

Blistering|

* Herpes simplex
* Herpes zoster
* Varicella
* Bullous impetigo
* Acute contact dermatitis
* Pemphigus vulgaris
* Bullous pemphigoid
* Dermatitis herpetiformis
* Porphyria cutanea tarda
* Epidermolysis bullosa simplex

Papular|

* Scabies
* Insect bite reactions
* Lichen planus
* Miliaria
* Keratosis pilaris
* Lichen spinulosus
* Transient acantholytic dermatosis
* Lichen nitidus
* Pityriasis lichenoides et varioliformis acuta

Pustular|

* Acne vulgaris
* Rosacea
* Folliculitis
* Impetigo
* Candidiasis
* Gonococcemia
* Dermatophyte
* Coccidioidomycosis
* Subcorneal pustular dermatosis

Hypopigmented|

* Tinea versicolor
* Vitiligo
* Pityriasis alba
* Postinflammatory hyperpigmentation
* Tuberous sclerosis
* Idiopathic guttate hypomelanosis
* Leprosy
* Hypopigmented mycosis fungoides

Without
epidermal
involvement|

| Red|

| Blanchable
Erythema|

| Generalized|

* Drug eruptions
* Viral exanthems
* Toxic erythema
* Systemic lupus erythematosus

|

Localized|

* Cellulitis
* Abscess
* Boil
* Erythema nodosum
* Carcinoid syndrome
* Fixed drug eruption

Specialized|

* Urticaria
* Erythema (Multiforme
* Migrans
* Gyratum repens
* Annulare centrifugum
* Ab igne)

Nonblanchable
Purpura|

| Macular|

* Thrombocytopenic purpura
* Actinic/solar purpura

|

Papular|

* Disseminated intravascular coagulation
* Vasculitis

Indurated|

* Scleroderma/morphea
* Granuloma annulare
* Lichen sclerosis et atrophicus
* Necrobiosis lipoidica

Miscellaneous
disorders|

| Ulcers|

|

Hair|

* Telogen effluvium
* Androgenic alopecia
* Alopecia areata
* Systemic lupus erythematosus
* Tinea capitis
* Loose anagen syndrome
* Lichen planopilaris
* Folliculitis decalvans
* Acne keloidalis nuchae

Nail|

* Onychomycosis
* Psoriasis
* Paronychia
* Ingrown nail

Mucous
membrane|

* Aphthous stomatitis
* Oral candidiasis
* Lichen planus
* Leukoplakia
* Pemphigus vulgaris
* Mucous membrane pemphigoid
* Cicatricial pemphigoid
* Herpesvirus
* Coxsackievirus
* Syphilis
* Systemic histoplasmosis
* Squamous-cell carcinoma

* v
* t
* e

Skin infections, symptoms and signs related to viruses

| DNA virus|

| Herpesviridae|

| Alpha.|

| HSV|

* Herpes simplex
* Herpetic whitlow
* Herpes gladiatorum
* Herpes simplex keratitis
* Herpetic sycosis
* Neonatal herpes simplex
* Genital herpes
* Cold sore
* Eczema herpeticum
* Herpetiform esophagitis
* Herpetic gingivostomatitis

|

B virus|

* B virus infection

VZV|

* Chickenpox
* Herpes zoster
* Herpes zoster oticus
* Ophthalmic zoster
* Disseminated herpes zoster
* Zoster-associated pain
* Modified varicella-like syndrome

Beta.|

* Human herpesvirus 6/Roseolovirus
* Exanthema subitum
* Roseola vaccinia
* Cytomegalic inclusion disease

Gamma.|

* Kaposi's sarcoma-associated herpesvirus
* Kaposi's sarcoma

Poxviridae|

| Ortho.|

* Variola
* Smallpox
* Alastrim
* Monkeypox virus
* Monkeypox
* Cowpox
* Vaccinia virus
* Vaccinia
* Generalized vaccinia
* Eczema vaccinatum
* Progressive vaccinia
* Buffalopox

|

Para.|

* Farmyard pox: Milker's nodule
* Bovine papular stomatitis
* Pseudocowpox
* Orf
* Sealpox

Other|

* Yatapoxvirus: Tanapox
* Yaba monkey tumor virus
* Molluscum contagiosum virus

Papillomaviridae|

| HPV|

* Wart/plantar wart
* Heck's disease
* Genital wart
* giant
* Laryngeal papillomatosis
* Butcher's wart
* Bowenoid papulosis
* Epidermodysplasia verruciformis
* Verruca plana
* Pigmented wart
* Verrucae palmares et plantares

|

* Bovine papillomavirus
* Equine sarcoid

Parvoviridae|

* Parvovirus B19
* Erythema infectiosum
* Reticulocytopenia
* Papular purpuric gloves and socks syndrome

Polyomaviridae|

* Merkel cell polyomavirus
* Merkel cell carcinoma

RNA virus|

| Paramyxoviridae|

* MeV
* Measles

|

Matonaviridae|

* Rubella virus
* Rubella
* Congenital rubella syndrome ("German measles")

Togaviridae|

* Alphavirus infection
* Chikungunya fever

Picornaviridae|

* Coxsackie A virus
* Hand, foot, and mouth disease
* Herpangina
* Foot-and-mouth disease virus
* Boston exanthem disease

Ungrouped|

* Asymmetric periflexural exanthem of childhood
* Post-vaccination follicular eruption
* Lipschütz ulcer
* Eruptive pseudoangiomatosis
* Viral-associated trichodysplasia
* Gianotti–Crosti syndrome

* v
* t
* e

Skin cancer of the epidermis

Tumor|

| Carcinoma|

| BCC|

* Forms
* Aberrant
* Cicatricial
* Cystic
* Fibroepithelioma of Pinkus
* Infiltrative
* Micronodular
* Nodular
* Pigmented
* Polypoid
* Pore-like
* Rodent ulcer
* Superficial
* Nevoid basal-cell carcinoma syndrome

|

SCC|

* Forms
* Adenoid
* Basaloid
* Clear-cell
* Signet-ring-cell
* Spindle-cell
* Marjolin's ulcer
* Bowen's disease
* Bowenoid papulosis
* Erythroplasia of Queyrat
* Actinic keratosis

Adenocarcinoma|

* Aggressive digital papillary adenocarcinoma
* Extramammary Paget's disease

Ungrouped|

* Merkel-cell carcinoma
* Microcystic adnexal carcinoma
* Mucinous carcinoma
* Primary cutaneous adenoid cystic carcinoma
* Verrucous carcinoma
* Malignant mixed tumor

Benign
tumors|

| Acanthoma|

* Forms
* Large-cell
* Fissuring
* Clear-cell
* Epidermolytic
* Melanoacanthoma
* Pilar sheath acanthoma
* Seboacanthoma
* Seborrheic keratosis
* Warty dyskeratoma

|

Keratoacanthoma|

* Generalized eruptive
* Keratoacanthoma centrifugum marginatum
* Multiple
* Solitary

Wart|

* Verruca vulgaris
* Verruca plana
* Plantar wart
* Periungual wart

Other|

| Epidermal nevus|

* Syndromes
* Epidermal nevus syndrome
* Schimmelpenning syndrome
* Nevus comedonicus syndrome
* Nevus comedonicus
* Inflammatory linear verrucous epidermal nevus
* Linear verrucous epidermal nevus
* Pigmented hairy epidermal nevus syndrome
* Systematized epidermal nevus
* Phakomatosis pigmentokeratotica

|

Other nevus|

* Nevus unius lateris
* Patch blue nevus
* Unilateral palmoplantar verrucous nevus
* Zosteriform speckled lentiginous nevus

Ungrouped|

* Cutaneous horn

* v
* t
* e

Human papillomavirus

Related
diseases|

| Cancers|

* Cervical cancer
* cancers
* Anal
* Vaginal
* Vulvar
* Penile
* Head and neck cancer (HPV-positive oropharyngeal cancer)

|

Warts|

*     * genital
* plantar
* flat
* Laryngeal papillomatosis
* Epidermodysplasia verruciformis
* Focal epithelial hyperplasia
* Papilloma

Others|

Acrochordon (skin tags)

Vaccine|

* HPV vaccines
* Cervarix
* Gardasil

Screening|

* Pap test:
* stain
* Bethesda system
* Cytopathology
* Cytotechnology
* Experimental techniques:
* Speculoscopy
* Cervicography

Colposcopy|

| Biopsy histology|

* Cervical intraepithelial neoplasia (CIN)
* Koilocyte
* Vaginal intraepithelial neoplasia (VAIN)
* Vulvar intraepithelial neoplasia (VIN)

|

Treatment|

* Cervical conization
* Loop electrical excision procedure (LEEP)

History|

* Georgios Papanikolaou
* Harald zur Hausen

Authority control databases: National |

* France
* BnF data
* Germany
* Israel
* United States

|

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