Pediatric emergency medicine trisk 1804 1804

FIGURE 88.2 Child with lesion of molluscum Warts Warts affect 7% to 10% of the population and are one of the most common dermatologic problems encountered in pediatrics The peak incidence is during adolescence Sixty-five percent of common warts disappear spontaneously within years, and 40% of plantar warts disappear within months in prepubertal children However, immunosuppressed patients may experience extensive spread of the lesions The common wart resembles a tiny cauliflower Lesions disrupt the natural skin lines and may also manifest with small black dots, representing thrombosed capillaries The shape of the wart varies with its location on the skin They may be long and slender (filiform) on the face and neck or flat (verruca plana) on the face, arms, and knees When located on the soles, they are called plantar warts , and when in the anogenital area, they are referred to as condyloma acuminata