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传染性软疣和疣。

Molluscum contagiosum and warts.

作者信息

Stulberg Daniel L, Hutchinson Anne Galbraith

机构信息

Utah Valley Family Practice Residency, Provo, Utah 84604, USA.

出版信息

Am Fam Physician. 2003 Mar 15;67(6):1233-40.

Abstract

Molluscum contagiosum and warts are benign epidermal eruptions resulting from viral infections of the skin. Molluscum contagiosum eruptions are usually self-limited and without sequelae, although they can be more extensive in immunocompromised persons. Spontaneous disappearance of lesions is the norm, but treatment by local destruction (curettage, cryotherapy, or trichloroacetic acid) or immunologic modulation can shorten the disease course, possibly reducing autoinoculation and transmission. Warts result from a hyperkeratotic reaction to human papillomavirus infection; nongenital warts are classified as common, periungual, flat, filiform, or plantar, based on location and shape. Warts are treated by local destruction (acids, cryotherapy, electrodesiccation-curettage), chemotherapy, or immunotherapy. The choice of treatment varies with the age and wishes of the patient, the potential side effects of the treatment, and the location of the lesions.

摘要

传染性软疣和疣是由皮肤病毒感染引起的良性表皮疹。传染性软疣疹通常是自限性的,且无后遗症,尽管在免疫功能低下者中可能更为广泛。皮损自然消失是常态,但通过局部破坏(刮除术、冷冻疗法或三氯乙酸)或免疫调节进行治疗可缩短病程,可能减少自体接种和传播。疣是由对人乳头瘤病毒感染的角化过度反应引起的;非生殖器疣根据位置和形状分为寻常疣、甲周疣、扁平疣、丝状疣或跖疣。疣通过局部破坏(酸、冷冻疗法、电干燥刮除术)、化学疗法或免疫疗法进行治疗。治疗方法的选择因患者的年龄和意愿、治疗的潜在副作用以及皮损的位置而异。

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