5-Minute Clinical Consult : Warts

Warts

Clinical Pearls

No single therapy for warts is uniformly effective or superior; thus, treatment involves a certain amount of trial and error.
Since most warts in children tend to regress spontaneously within 2 years, benign neglect is often a prudent option.
Conservative, nonscarring, least painful, least expensive treatments are preferred.
Freezing and other destructive treatment modalities do not kill the virus, but merely destroy the cells that harbor HPV.
For filiform warts, a small mosquito hemostat dipped into LN₂ for 10 seconds and then used to gently grasp the wart for 10 seconds is a relatively painless treatment option.

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