Wart Under the Microscope (Verruca Vulgaris vs Seborrheic Keratosis Pathology)

A quick look at a nice verruca in contrast with an adjacent seborrheic keratosis.
A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/pos... (dermpath) & kikoxp.com/pos... (bone/soft tissue sarcoma pathology).
Please check out my Soft Tissue Pathology & Dermatopathology survival guide textbooks: bit.ly/2Te2haB ‬
This video is geared towards medical students, pathology or dermatology residents, or practicing pathologists or dermatologists. Of course, this video is for educational purposes only and is not formal medical advice or consultation.
Presented by Jerad M. Gardner, MD. Please subscribe to my channel to be notified of new pathology teaching videos.
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[@JMGardnerMD]

A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).

[@missknowall]

Thanks for another wonderful video. Amazing clinicopathological correlation too. Delightfully delightful.

[@Sanshaino]

Fabulous, exactly the kind of basic stuff I'm afraid a senior may not have time to go through with me at this level of detail.

[@JMGardnerMD]

Glad you like it! A complete organized library of all my videos, digital slides, pics, & sample pathology reports is available here: kikoxp.com/posts/5084 (dermpath) & kikoxp.com/posts/5083 (bone/soft tissue sarcoma pathology).

[@gunsmokegaloreyt6840]

Yeah exactly, they’re not gonna be dedicated enough to show you their infected toes under a microscope

[@AfrozaMithila]

Finally I found this. Can't see in kiko

[@suremoonology3091]

Very helpful thanks

[@EasteralRoblox]

Nicely explained. Thankyou.

[@im_trying_right_now]

what is the magnification of the microscope ? can you add that information on the size (these likely are in microns) of different stuffs?

[@LHA100]

Thank you for your fantastic teaching videos! I've learned so much from your content. I do have a question: how would you classify skin lesions with papillomatous and hyperkeratotic epidermis, often with very focal or without parakeratosis, and lacking the histological characteristics of verruca vulgaris? Your expertise would be greatly appreciated in shedding light on this.

[@JMGardnerMD]

Sounds like you are describing a verrucoid seborrheic keratosis. Sometimes we use terms like “benign verrucoid keratosis” for lesions that easily fit in the box for with SK or verruca.

[@rckwak]

great video and explanation. Is there any way to see what the "mother cell" (or cells) is that is creating the wart? At some depth, the cells are infected with HPV...is there a way to tell which ones are abnormal?

[@JMGardnerMD]

Don’t know exact single “mother cell”. But here is how to tell which ones are abnormal and have HPV. This video at 9:00 kzbin.info/www/bejne/hmekqplvop2HeLcsi=M9RMNAs-pv7EqOH0

[@salinas9441]

Hello doctor how can SWIFT (microwave techonology) help the immune system to detect warts ?

[@j.x.1652]

What would u recommend for healing? I have a 3 yr old wart which is painful!

[@ahmedsaleem4683]

Collodion acid does a pretty good job over the course of 14 days

[@bolofulkfam4493]

Do you have images of what a wart would look like if it occurred in the nail bed or subungually?

[@salsengchsangma956]

My son also geting veruca plana

[@essamabdelkader6045]

Hi doctor ,i would like to ask you if this report pathology findings consistent with warts or can be detected in other conditions like keratosis 1. Orthokeratosis 2.mild papillomatosis 3.mild epidermal hyperplasia with hypergranulosis 4.vacuolation of cells of granular cell layer 5.superficial lymphocytic infiltration 6.dilated blood vessels Thanks

[@JMGardnerMD]

Those are all findings found in warts. But other things including lichen simplex chronicus/prurigo, seborrheic keratosis and others could have those features also.

[@essamabdelkader6045]

@JMGardnerMD thanks a lot , is there a specific (hallmark) feature in pathology which confirms the wart ?, thanks

[@ronaldreagan7772]

How are warts spread?

[@JMGardnerMD]

Direct contact. They are caused by a virus called HPV.

[@Bby.702]

what is “lay” people you refer to?

[@JMGardnerMD]

“Lay people” in this context just means members of the general public who are not specialized in medicine.

[@SR-yg5cg]

What is a verrucous keratosis?

[@JMGardnerMD]

It is a descriptive term for a benign skin growth that has overlapping features between a wart (verruca) and a seborrheic keratosis.

[@user-tc8ep8ln1c]

talker