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  • Can be spread by direct contact, including sexual contact

  • Often spread to other body parts by scratching or during baths

  • There is a case for reassuring parents and waiting for spontaneous resolution

  • Avoid using the bath, esp. with siblings

Treatment options

  • Liquid nitrogen (a few secs)

  • Application of 15% podophyllin

  • Application of 30% trichloracetic acid

  • Ether soap and friction method

  • Lifting open the tip with a sterile needle inserted from the side (parallel to the skin) and applying 10% povidone-iodine (Betadine) solution (parents can be shown this method and continue to use it at home for multiple tumours)

  • Cover with a piece of Micropore tape or Leukosilk—change every day after showering (may take several months)

  • For large areas, aluminium acetate (Burow’s solution 1:30) applied bd can be effective

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