Wart (filiform)

Diagnosis: Wart (filiform)

The surface of this type of wart has many flesh-colored, hyperkeratotic, fingerlike projections.

Clinical Presentation

The surface of this type of wart has many flesh-colored, hyperkeratotic, fingerlike projections.

Clinical History

Submitted by Alaa Saad. Originally posted October 11, 2010.

Treatment

See case discussion.

Differential Diagnosis

• Seborrheic keratosis • Squamous cell carcinoma • Molluscum contagiosum • Corn/callus • Actinic keratosis

Key Learnings

• Caused by Human Papillomavirus (HPV) • Thrombosed capillaries appear as "black dots" • Spontaneous resolution in ~65% within 2 years in immunocompetent patients • Multiple treatment approaches often needed

Tags: wart, filiform, alaa saad