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  • Title: Mucocutaneous warts in children: clinical presentations, risk factors, and response to treatment.
    Author: Al-Mutairi N, AlKhalaf M.
    Journal: Acta Dermatovenerol Alp Pannonica Adriat; 2012 Dec; 21(4):69-72. PubMed ID: 23599126.
    Abstract:
    INTRODUCTION: Human papillomaviruses (HPV) cause cutaneous and mucosal infections in both adults and children. Warts are very common in children. METHODS: All patients younger than 13 presenting with cutaneous warts in a 1-year period at Farwaniya Hospital in Kuwait were included in the study. In addition, their parents completed a questionnaire about possible environmental risk factors for warts. The treatment modalities used and their outcomes were recorded. RESULTS: This study included 2,916 children with warts. Common warts affected male patients more frequently. Warts were mostly located on the hands, in 1,172 patients (40.19%), followed by the feet in 1,096 patients (37.59%). Frequently associated environmental factors were walking barefoot, using a swimming pool, or having a family member with warts. The first-line treatment used was cryotherapy, followed by topical salicylic acid preparations. A total of 2,128 (72.98%) patients were cleared of their warts, and 232 (10.90%) patients had a recurrence. The cure rate in patients with hand warts was slightly higher than with warts on the feet (78.67% versus 70.52%). Treatment side effects were a complaint of 1,796 (61.59%) patients. CONCLUSIONS: The prevalence of warts is lowest among children less than 6 years old. No particular therapy has been confirmed to be effective at achieving complete remission in every patient.
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