ABSTRACT

Viral infections are quite common in dark skin, especially in the paediatric population and young adults, with human papillomavirus (HPV)-related warts being the most frequent ones. They typically spread through direct skin-to-skin contact and less commonly via fomites. Common warts appear as exophytic, verrucous, dome-shaped papules or plaques of variable size that may display multiple black dots over the surface. Plane warts present as multiple, flat-topped, smooth, skin-coloured or brownish papules most frequently affecting the face and the dorsal aspects of the hands and arms, whereas condylomata acuminata typically consist of exophytic, sessile or pedunculated, soft, pinkish or brownish papules of variable sizes of the anogenital skin and/or mucous membranes, which may become confluent as cauliflower-like plaques. Plane warts typically feature homogeneous white areas having roundish or irregular borders. Genital warts may show different dermoscopic patterns.