Warts -management

No single Rx is 100 % effective Most warts would resolve without treatment and several papers quote a 2 year period for children PCDS website mentions that new warts often resolve spontaneously -30 % within 10 weeks Other papers quite that in adults they may persist for 5-10 yrs It is safe to say that most warts would resolve spontaneously and no treatment has a very high success rate of 60 % to 70 % Asymptomatic warts in non-cosmetically sensitive areas may be left alone Majority of warts can be treated in primary care HPV has no cure Recurrence rates with most methods used for treatment is high

Not harmful Most may resolve without treatment Not all warts need treatment Warts are contagious That they do not cause scarring when they resolve Consider treatment if○ painful○ interference with function○ cosmetic embarrassment○ risk of malignancy Advice that every single treatment for warts is associated with failures Consider providing written information for e,g BAD leaflets ( find it under links for patients ) about prevention and management

Warts on face - refer dermatology referral if treatment is indicated Genital warts - consider GUM clinic referral Diagnostic uncertainty Patient is immunosuppressed Patient with...