Common wart in Adult
For unknown reasons, the incidence of common warts is approximately twice as high in whites as in individuals of African descent and 10 times more common in Hispanics than individuals of African descent. In persons of African descent, the majority of warts are solitary, whereas with Hispanics, most patients present with multiple warts.
Immunocompromised Patient Considerations:
Immunocompromised patients often demonstrate larger confluent verruca that are more resistant to standard therapies. The presence of warts per se is not a reason for expensive immunological testing, however.
B07.8 – Other viral warts
57019003 – Common wart
- Seborrheic keratosis – Has a characteristic "stuck-on," waxy appearance.
- Clavus / corn – A painful hyperkeratotic lesion with a central core that lacks the pinpoint thrombosed capillaries and retains normal skin dermatoglyphics. Clavi occur in sites of pressure and repeated friction.
- Foreign body reactions – May have a history of trauma or inoculation.
- Molluscum contagiosum – Lesions are smooth, dome-shaped papules with a central umbilication.
- Actinic keratoses – Tend to be scaly erythematous papules in sun-exposed areas of elderly individuals.
- Lichen planus – Lesions are typically more planar, violaceous, and pruritic.
- Keratoacanthomas – Have a central keratin crater.
- Squamous cell carcinoma – Can arise in preexisting warts and may be recalcitrant to therapy.
- Prurigo nodularis – Characterized by pruritic papules and nodules.
- Perforating folliculitis – Tends to be follicularly based with a central core.
- Cutaneous horns – Can arise from warts, hypertrophic actinic keratoses, seborrheic keratoses, and squamous cell carcinomas.
- Lichen nitidus – Characterized by discrete, dome-shaped papules.