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How would you treat disseminated flat warts in an immunosuppressed patient with skin of color?

How do you balance concern for causing skin hypopigmentation with many of the traditional treatment modalities we have?
2 Answers
Mednet Member
Mednet Member
Dermatology · Dept Dermatology Jefferson Medical College
Answered on

Hard to imagine Imiquimod working in a dry wart. Thinking back to the genital studies... only the occluded (moist) warts responded.

I generally try to curette them over several visits.

Compounded cidofovir (off-label, etc.) might be the best bet.

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Mednet Member
Mednet Member
Dermatology · United Health Services
Answered on

Imiquimod

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