By
Kamilah
Fitriyani B.
Zulkifli Thamrin
Advisor:
dr. Saribumi
Supervisor:
dr. Suswanto Wahab, Sp.KK
INTRODUCTION
Wart is a benign proliferation of the skin
and mucosa caused by HPV
Verruca vulgaris is known as common
wart
Common wart rarely undergoes
malignant transformation, therefore its
not dangerous
ETIOLOGY
Caused by the human papilloma virus
(HPV)
There are more than 100 types of HPV
The ones which caused common wart are
type 2 and 4 (most common) followed by
type 1, 3, 27, 29 and 57
PATHOGENESIS
viral inoculation at the epidermis
HPV infection
Maseration
infection the on the skin
stem cell
Basal cell infection
epidermal
Mitosis
virus
Differentiated
Hiperkeratosis
CLINICAL MANIFESTATIONS
Usually occurs in children of school age,
but rare in infants. It can also occurs in
adults
Locations : any parts of the body but
most commonly on hands and knees
DIAGNOSIS
Diagnosis of verucca vulgaris is made
based on its clinical manifestations
If uncertain, histopathology findings can
be made using skin biopsy
Histopathology findings can differentiate
most papillomas
Histopatologis
DIFFERENTIAL DIAGNOSIS
Tuberculosis cutis
verrucousa
A single lesion, rougher,
may elongate in a
serpiginous spreading
Prurigo nodularis
Usually on the
extremities, itchy
Can be differentiated
from verruca vulgaris
using histopathology
Squamous cell
carcinoma
Cauliflower-like
vegetation, easily bled,
smelly
Keratinocyte
windblown appearance
TREATMENTS
Some resolve on its own
Include non-surgical and surgical
methods
Non-surgical methods
Using keratolytic agentscause cornified
epithelium to swell, macerate, and
desquamate
Trichloroacetic acid 50%-80%
Salicylic acid 20%, lactate acid 10%
Surgical methods
Cryosurgery : Liquid nitrogen (-196C) is the
most effective method
Electrodesiccation and curettage: effective but
painful
Lasers : expensive
Surgical excision: Avoided risks of scarring
and recurrence.
PROGNOSIS
Approximately 65% of warts disappear
spontaneously within 2 years.
When warts resolve on their own, no
scarring is seen. However, scarring can
occur as a result of different treatment
methods.
THANK YOU