Hi all,
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I have just seen the most unusual thing... and was wondering if anyone else has seen the same, as I have never seen it before... :confused:
Patient this afternoon was a 12 year old girl with a small verruca on the medial aspect of the IPJ on the left hallux, 3mm in diameter, which had been present for around 12 months with no previous treatment (self or other). The patient reports it is painful with shoe pressure, and would like treatment... The girl is in good health, taking no medications, etc etc, and there were 5 capillaries visible from the surface of the lesion...
Anyway, on debridement of approximately the top half thickness of the verrucae (which I didn't feel was normally "aggressive" enough, as the wart was still raised from the skin), one of the extravasating blood vessels began to bleed, and took around 5 minutes to stop! :eek: It was quite unusual in that the bleed was faster than what I would normally expect with a wart, normally I see the capillaries "bead" a tiny amount and they don't bleed much at all... The patient reports no pain during or post treatment, and once the bleed stopped I used trichloracetic acid crystals on the lesion...
Has anyone else seen this? :eek: Am I missing something here?
Regards
Donna :)
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