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Mucocutaneous warts in children: clinical presentations, risk factors, and response to treatment

Nawaf Al-Mutairi1, Manar AlKhalaf

  • 1Department of Medicine, Faculty of medical sciences, Medicine, University of Kuwait, and Department of Dermatology, Farwaniya Hospital, P.O. Box 280, Farwaniya 80000, Kuwait. nalmut@usa.net

Acta Dermatovenerologica Alpina, Pannonica, Et Adriatica
|April 20, 2013
PubMed

Insights

Human papillomaviruses (HPV) cause common warts in children. Cryotherapy and salicylic acid were common treatments, with a 73% cure rate, but side effects were frequent.

Area of Science:

  • Dermatology
  • Pediatrics
  • Infectious Diseases

Background:

  • Human papillomaviruses (HPV) are common causes of cutaneous and mucosal infections.
  • Warts are a prevalent condition among children globally.

Purpose of the Study:

  • To investigate the prevalence, environmental risk factors, and treatment outcomes of cutaneous warts in children under 13.
  • To evaluate the effectiveness and side effects of different treatment modalities for pediatric warts.

Main Methods:

  • A prospective study of 2,916 children under 13 with cutaneous warts at Farwaniya Hospital, Kuwait.
  • Parental questionnaires collected data on environmental risk factors and family history.
  • Treatment modalities and outcomes, including cure rates and recurrences, were recorded.

Main Results:

  • Hands (40.19%) and feet (37.59%) were the most common wart locations.
  • Environmental factors like walking barefoot, swimming pool use, and family history were associated with warts.
  • Cryotherapy and topical salicylic acid were first-line treatments, achieving a 72.98% cure rate, but 61.59% of patients reported side effects.

Conclusions:

  • Wart prevalence is lowest in children under 6 years old.
  • No single therapy guarantees complete remission for all pediatric wart cases.
  • Further research is needed to identify optimal treatment strategies with minimal side effects.
Abstract

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