Warts under the Dermoscope

Aqil, Niema; Nassiri, Aicha; Baybay, Hanane; Gallouj, S.; Elloudi, Sara; Mernissi, Fatima Zahra

doi:10.36876/smdj.1030

Cited by 11 publications

(10 citation statements)

References 17 publications

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“…The absence of skin lines was striking. The aforementioned dermoscopic patterns are in line with previous reports (8)(9)(10)(11). Interestingly, few linear structures of various colors were also noted.…”

Section: Discussionsupporting

confidence: 92%

“…Red dots represent thrombosed vessels in the projected papillae, and white halo was due to elongated and thickened rete ridges, hyperkeratotic keratin (Figure 5A-C). It should be noted that common warts and other variants of warts demonstrate a white halo around red dots (8). In contrast, a yellow halo was conspicuously noted in plantar warts and can be attributed to the significantly thickened stratum corneum and seepage of blood in the keratin layers.…”

Section: Discussionmentioning

confidence: 95%

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Plantar Papules and Plaques: A Dermoscopic-Histopathological Correlation

et al. 2021

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Background: Painful lesions affecting the plantar aspect of the foot are routinely encountered in daily practice, and plantar wart, corn, and callus are the most common conditions. Although the clinical examination is sufficient to clinch an accurate diagnosis, atypical presentations indicate the need for invasive investigations like skin biopsy. Here we evaluated dermoscopic patterns of painful lesions affecting the plantar surface. Objectives: The current study aimed to, firstly, investigate the dermoscopic patterns and differentiate between painful papules and plaques on the foot, and, secondly, to analyze the histopathological correlation of these dermoscopic patterns. Methods: Following a cross-sectional design, the current study was carried out on patients with the clinical diagnosis of painful lesions of foot suggestive of plantar wart, corn, and callus referring to a tertiary care center from June 2019 to Jan 2020. Dermoscopy analysis and biopsy were performed for all participants. Results: Among 92 patients with painful plantar lesions, 56, 22, and 15 had a plantar wart, corn, and callus, respectively. Dermoscopy of warts revealed red dots (89.28%) and yellow halo (82.14%). A translucent central core (100%) and whitish ring (81.81%) on dermoscopy of patients with corn. Dermoscopy of callus demonstrated opaque yellow area in all (100%) the patients. Dermatoglyphics were absent in plantar wart in contrast to corn and callus, wherein they were preserved. Conclusions: Dermoscopy can be considered as a rapid, non-invasive, diagnostic tool in the daily practice of a dermatologist. Here, it assisted in distinguishing clinically akin painful plantar papules and plaques. These dermoscopic patterns also were well correlated histopathologically.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 95%

Plantar Papules and Plaques: A Dermoscopic-Histopathological Correlation

et al. 2021

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“…Dermoscopic features of wart include presence of grouped papillae, with dotted or loop vessels, and/or hemorrhagic points surrounded by whitish halos and irregularly distributed blackheads giving a frogspawn appearance. [ 6 ] In our case also, multiple papillae with central red dots surrounded by whitish halo and discrete black dots were seen suggesting a frogspawn appearance.…”

supporting

confidence: 59%

Doughnut Wart Following Salicylic Acid Application

Sethy

Srinivas

Krishna

et al. 2021

Indian Dermatology Online Journal

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“…Dermoscopy of palmoplantar warts reveals multiple prominent hemorrhages within a well‐defined, yellowish papilliform surface in which skin lines are interrupted. Disappearance of these dermoscopic features could be used in monitoring the response to treatment 14 …”

Section: Discussionmentioning

confidence: 99%

Intralesional combined digoxin and furosemide in plantar warts: Does it work?

Fathy

Abo-Elmagd

Afify

2021

J of Cosmetic Dermatology

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Background Warts are small, benign growths caused by human papilloma virus. No treatment has yet proven 100% effective for a cure. DNA viruses rely on K + influx for replication. Both digoxin and furosemide inhibit the K + influx by interacting with cell membrane ion co‐transporters. Therefore, it is hypothesized that these two compounds may be valuable in the treatment of warts. Aims Our aim was to evaluate the efficacy and safety of intralesional injection of a combination of digoxin and furosemide in treatment of plantar warts. Patients/Methods This two‐armed single blinded randomized clinical trial included 40 cases with multiple plantar warts (≥3warts) divided into 2 groups (20 cases each). The first group received intralesional normal saline and the second group received intralesional combined digoxin and furosemide, one session every week for maximum 5 injection sessions. Results On comparing between the 2 groups regarding response to treatment (reduction in number of warts), the first group showed no change in number of warts (82 warts before and after treatment), whereas, in the second group, the number of warts before treatment was 80 while after treatment it was 40 (50% reduction in number). There was a statistically significant difference between the two groups as regard the change in the total number of warts (P < .001). Conclusions Intralesional injection of combined digoxin and furosemide is safe and effective treatment option in multiple plantar warts.

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Warts under the Dermoscope

Cited by 11 publications

References 17 publications

Plantar Papules and Plaques: A Dermoscopic-Histopathological Correlation

Plantar Papules and Plaques: A Dermoscopic-Histopathological Correlation

Doughnut Wart Following Salicylic Acid Application

Intralesional combined digoxin and furosemide in plantar warts: Does it work?

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