HPV Vaccination Status and Resolution of Warts in Pediatric Patients

Indian J Dermatol. 2021 Nov-Dec;66(6):604-608. doi: 10.4103/ijd.ijd_30_21.

Abstract

Background: Warts are a common dermatologic complaint with an increased incidence within the pediatric population. Warts are caused by multiple strains of the human papillomavirus (HPV). There is little research on how a patient's HPV immunization status affects the response to treatment of warts in pediatric patients.

Aims: The purpose of this study is to investigate the relationship between HPV vaccination status and wart resolution.

Materials and methods: This is a retrospective chart review that investigates the relationship between response to routine treatment of warts and a subject's HPV vaccination status.

Results: There was no significant relationship found between HPV vaccination status and resolution of warts (p = 0.797). However, there was a significant positive correlation between having the HPV vaccine and number of visits for the treatment of warts (r = 0.180, P = 0.024).

Conclusion: This study did not show a significant correlation between HPV vaccination status and wart resolution, although it demonstrated a significant positive relationship between those immunized with the HPV vaccine and an increased number of treatment visits. Possible explanations for this unexpected correlation include the variation in HPV vaccine formulation, vaccination status, and frequency of office visits, since vaccinated patients are more likely to be compliant with office visits.

Keywords: Cutaneous warts; HPV; HPV vaccination; filiform warts; flat warts; pediatrics; plantar warts; recalcitrant warts; verruca vulgaris.