Podem aparecer como lesões isoladas ou em pequenos grupos. Causas e Transmissão
Longas, finas e com projeções espiculadas (semelhantes a dedos ou fios).
is a distinct clinical variant of the common wart (verruca vulgaris), caused by human papillomavirus (HPV). Its name derives from the Latin filum (thread) and forma (shape), describing its characteristic finger-like or thread-like projections. These warts are benign epithelial proliferations but are notable for their rapid growth, unusual morphology, and predilection for specific facial sites (lips, eyelids, nose, and perioral region). verruga filiforme
Isso previne a autoinoculação em outras áreas do rosto.
| Modality | Details | Efficacy | Side effects / Notes | |----------|---------|----------|----------------------| | (liquid nitrogen) | 1–3 freeze-thaw cycles, 5–10 sec application. Repeat q2–3 weeks. | Moderate–good; 60–80% clearance after 3–4 sessions. | Pain, blistering, hypopigmentation (especially in dark skin). Risk of eyelid edema. | | Electrodesiccation & curettage | Local anesthetic; scrape + light cautery. | High (>85%) for single lesions. | Scarring potential; not ideal for eyelid margin. | | Snip excision (scissors) | Shave excision at base with fine iris scissors. | Excellent for pedunculated lesions. | Minimal scar if done precisely; recurrence if base not destroyed. | | Topical salicylic acid (17%) + lactic acid | OTC preparations; nightly application under occlusion. | Low–moderate (slow, often ineffective on thick facial skin). | Irritant contact dermatitis. | | Topical retinoids (tretinoin 0.05% cream) | Off-label; nightly. | Moderate; works via desmosome disruption. | Erythema, peeling. Better for flat warts. | | Imiquimod 5% cream | 3x/week, up to 16 weeks. | Moderate (better in immunosuppressed). | Local inflammation, flu-like symptoms (rare). | | Pulsed dye laser (585/595 nm) | Targets hemoglobin in dilated capillaries. | Good (70–90%). | Expensive; requires multiple sessions. | | Cantharidin (blister beetle extract) | Applied in clinic, washed off after 4–6h. | Moderate; not FDA-approved for facial use. | Painful blister; risk of post-inflammatory hyperpigmentation. | | Surgical excision (full-thickness) | Rarely indicated. | High cure rate. | Definite scar; reserved for refractory cases. | Podem aparecer como lesões isoladas ou em pequenos grupos
While verruga filiforme is generally a benign condition, it can be associated with:
Surgem predominantemente na face , pescoço , pálpebras e ao redor da boca ou nariz . Its name derives from the Latin filum (thread)
You can use keywords like "Verruga filiforme", "filiform warts", "HPV", "skin lesions", and "dermatology" to find relevant papers.
O diagnóstico é essencialmente clínico, realizado por um dermatologista através da observação visual. Em alguns casos, é importante diferenciar a verruga filiforme de outras condições cutâneas, como: