II. Epidemiology

  1. Human Papilloma Virus types 1,2,4,7
  2. Most common in children and young adults

III. Pathophysiology

  1. Transmission
    1. Skin-skin contact
    2. Contaminated surface
    3. Autoinocculation (e.g. scratching, shaving)

IV. Signs

  1. Characteristics
    1. Early
      1. Small: Pinhead-sized, pale erythematous Macules
      2. Larger: Irregularly surfaced domed lesions
    2. Later
      1. Larger rough papillary (carpet-like)
    3. Variants
      1. Digitate, pink to grey
      2. Brownish "verrucous" Papules
  2. Location
    1. Hands (firm Nodules)
    2. Periungual warts (nail edges)
    3. Digitate lesions on Eyelids, nostrils, lips, oral

V. Management

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