Kissing Warts

A 29 year old man developed three skin coloured lesions near his right ring finger. The first lesion was noticed in the teens and had persisted for a number of years before the other two appeared sequentially in late twenties. These warty lesions were painless and non-itchy. There was no relevant history of medical illness or regular medication usage. On palpation, they had a roughened surface. These warts are caused by human papilloma virus, and are prone to develop in proximity to each other, hence named the “kissing warts”. They are particularly stubborn to most forms of treatment including salicylic acid, cryotherapy, electrodessication and curettage. After carefully discussing different treatment options with the patient, he opted to apply De-wart lotion containing podophyllum emodi extract, verrugon and milk acid. Multiple applications were required and the warts decreased in size gradually. After four months of dedicated treatment, the patient was wart-free.