How would you treat these verrucous papules?

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Authors: 

Mr Tolkachjov is a fourth-year medical student at The University of Tennessee Health Science Center in Memphis. Dr Wilson is associate professor and associate director of the residency program in the department of dermatology at University of Virginia School of Medicine in Charlottesville.

Kirk Barber, MD, FRCPC- Series Editor: Dr Barber is a consultant dermatologist at Alberta Children's Hospital and clinical associate professor of medicine and community health sciences at the University of Calgary in Alberta.  

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Case: A 2-year-old boy has had a cluster of asymptomatic, pink to tan, verrucous papules on his right dorsal foot since 6 months of age. The lesion has slowly enlarged. The child has no other lesions and no known medical conditions. The parents have tried using duct tape for empirical treatment of a wart, without a response.

What can you tell the parents that will spare this child more duct tape applications?

(Answer on next page.)

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