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?

Answer from: at Community Practice

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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at Montefiore Medical Center
If immunosuppressed - could be edv-topical cidofov...

Answer from: at Community Practice

Imiquimod

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at DSF Cosmetic and Medical Dermatology
Can they mount an immune response through Imiquimo...

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

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