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Verrugas comuns

Última revisão: 20 Aug 2025
Última atualização: 30 Oct 2024

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • crescimento da lesão ao longo de semanas a meses
  • pápula arredondada, saliente
  • pequenos pontos pretos na superfície da lesão
Detalhes completos

Outros fatores diagnósticos

  • lesões satélites
  • lesões nos dedos ou nas dobras ungueais
  • lesões faciais
  • fissuras
  • hiperceratose
  • coloração branca-acinzentada ou marrom claro
  • pápula filiforme com espículas pontiagudas
Detalhes completos

Fatores de risco

  • imersão em água
  • profissões que envolvem o manuseio de carne ou peixe
  • roer unhas
  • idade abaixo de 35 anos
  • imunocomprometido
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • nenhum exame inicial
Detalhes completos

Investigações a serem consideradas

  • biópsia de pele
  • coloração com imunoperoxidase
  • cultura da pele
Detalhes completos

Algoritmo de tratamento

AGUDA

verruga comum: imunocompetente

verruga comum: imunocomprometido

verruga filiforme

Colaboradores

Autores

Angela Yen Moore, MD

Director

Arlington Center of Dermatology

Primary Investigator

Arlington Research Center

Arlington

Clinical Assistant Professor

Baylor University Medical Center

Dallas

Clinical Assistant Professor

University of Texas Medical Branch

Galveston

TX

Divulgaciones

Dr. Moore receives funds as an advisory board member (A), consultant (C), clinical study investigator (I), and speaker (SP) – for Abbvie (I,SP), Almirall (C,I,SP), Arcutis (I), Biofrontera (C,I), Boehringer Ingelheim (I), Bristol-Myers Squibb (C,I), Dermavant (I), DS Biopharma (I), Eli Lilly (I), EpiHealth (A), Evolus (A), Galderma (I), Incyte (I), Janssen (I), Leo (A,SP), Mayne Pharma (C,I), Nimbus (I), Novartis (I), Parexel (I), Pfizer (I,SP), UCB (I), Verrica (I), Vyne (I,SP).

Agradecimientos

Dr Angela Yen Moore would like to gratefully acknowledge Dr Leonid Izikson, the previous contributor to this topic. LI declares that he has no competing interests.

Revisores por pares

Brenda L. Pellicane, MD

Dermatologist

Wayne State University School of Medicine

Department of Dermatology

Detroit

MI

Divulgaciones

BLP declares that she has no competing interests.

David Cassarino, MD, PhD

Assistant Professor

Department of Pathology and Laboratory Medicine

University of California

Los Angeles

CA

Divulgaciones

DC declares that he has no competing interests.

Jashin J. Wu, MD

Chief Dermatology Resident

University of California

Irvine

CA

Divulgaciones

JJW declares that he has no competing interests.

Sam Gibbs, FRCP

Consultant Dermatologist

Dermatology Department

The Great Western Hospital

Swindon

UK

Divulgaciones

SG declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referencias

Nuestros equipos internos de evidencia y editoriales colaboran con colaboradores expertos internacionales y revisores pares para garantizar que brindemos acceso a la información más clínicamente relevante posible.

Artículos principales

Lipke MM. An armamentarium of wart treatments. Clin Med Res. 2006;4:273-293.Texto completo  Resumen

Gibbs S, Harvey I, Sterling J, et al. Local treatments for cutaneous warts: systematic review. BMJ. 2002;325:461.Texto completo  Resumen

Kwok CS, Gibbs S, Bennett C, et al. Topical treatments for cutaneous warts. Cochrane Database Syst Rev. 2012;(9):CD001781.Texto completo  Resumen

Dall'oglio F, D'Amico V, Nasca MR, et al. Treatment of cutaneous warts: an evidence-based review. Am J Clin Dermatol. 2012;13:73-96. Resumen

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