title: Mucocutaneous warts in Middle Anatolia, Turkey: clinical presentations and therapeutic approaches.
abstract: BACKGROUND
  Viral warts are common skin condition caused by the human papilloma virus.
  
  
  OBJECTIVE
  To determine the clinical features of warts and therapeutic approaches to warts and compare them with the literature.
  
  
  METHODS
  A cross-sectional survey was conducted on 362 consecutive patients presenting to a dermatology clinic in Ankara, Middle Anatolia, Turkey. Age, gender, anatomic localization, clinical types, number of warts, and medical therapy histories were recorded.
  
  
  RESULTS
  In our study 139 (38.4%) children and 223 (61.6%) adults had warts. Warts were seen in 191 men, and 171 women. The mean age was 24.7 ±13.5. In all groups the incidence and the number of warts were higher in men. Clinical types of warts were vulgar, anogenital, plantar, verruca plana, filiform, and mosaic. Thirty-six (9.9%) of 362 cases had more than one type. The locations of warts were as follows extremities (n = 233, 64.4%), anogenital (n = 86, 23.7%) and head and neck (n = 73, 20.2%). The incidence of anogenital warts was statistically higher in men than women (p < 0.05). Topical medical treatment was the first choice (n = 60, 57.1%).
  
  
  CONCLUSIONS
  In our study, the incidence and the number of warts were higher in men, which is different than in previous reports. The anogenital wart (AW) was ranked second in all types of warts. According to this finding, we can say that the frequency of AW has been increased in Turkey. To our knowledge recently there have been no studies investigating the clinical features of viral warts in all ages in the literature.
authors.affiliation: Department of Dermatology, Dıskapı Research and Training Hospital, Ankara, Turkey. Head of the Department: Assist. Prof. Müzeyyen Gönül.
authors.forename: Müzeyyen
authors.initials: M
authors.lastname: Gönül
authors.affiliation: Department of Dermatology, Yenimahalle State Hospital, Ankara, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Unal
authors.affiliation: Department of Dermatology, Ağrı State Hospital, Ağrı, Turkey.
authors.forename: Ayşegül Yalçınkaya
authors.initials: AY
authors.lastname: Iyidal
authors.affiliation: Dermatology Department, School of Medicine, Balikesir University, Balikesir, Turkey.
authors.forename: Seray
authors.initials: S
authors.lastname: Çakmak
authors.affiliation: Dermatology Department, School of Medicine, Balikesir University, Balikesir, Turkey.
authors.forename: Arzu
authors.initials: A
authors.lastname: Kılıç
authors.affiliation: Department of Dermatology, Numune Research and Training Hospital, Ankara, Turkey. Head of the Department: Prof. Dr. Ülker Gül.
authors.forename: Ulker
authors.initials: U
authors.lastname: Gul
authors.affiliation: Family Medicine, Kilis Public Health Research, Kilis, Turkey.
authors.forename: Pinar
authors.initials: P
authors.lastname: Doner
keywords: anogenital wart; common wart