Viral warts

All treatments are destructive and should be applied with precision. Cryotherapy ((¬°quid nitrogen). Salicylic acid 12% in collodion daily. Many other caustic (keratolytic) preparations exist, e.g. salicylic and lactic acid paint or gel. For plantar warts formaldehyde or glutaraldehyde: podophyllin (antimitotic) for plantar or anogenital warts. Follow the manufacturer's instructions meticulously, if one topical therapy fails it is worth trying a different type.Topical imiquimod is an alternative for genital warts. It is irritant and expensive.

Nonsurgical remedies may act by disrupting the wart so that virus is absorbed, antibodies develop and the wart is rejected immunologically.Warts often disappear spontaneously


No safe and reliable treatment. Methoxsalen or other psoralen, topically or systemically, plus daily exposure to UVA (PUVA) is toxic, and ineffective in Caucasians. Sunscreens to protect the depigmented areas and reduce pigmentation of surrounding skin.

Probably an autoimmune disease. Note: dose-dependent risk of squamous cell cancer with PUVA

Xanthelasma palpebrarum

Topical trichloracetic acid applied carefully with an orange stick.

Monitor plasma lipids.

X-ray dermatitis

Emollient and dilute topical corticosteroid.

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