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The prevalence of warts among children ranges from 22% to 33%. Treatment failure is common, but benign neglect is frequently appropriate as spontaneous resolution often occurs. Studies of the natural history of childhood warts are scarce and old.
Investigators examined the hands and feet of 1134 students (age range, 4–12 years) in three schools in the Netherlands for warts. A total of 366 children had warts at baseline. Plantar warts were identified in 70% and common warts in 42%; 43% had multiple warts, and 37% had a wart measuring >1 cm diameter. Of the 333 children available for follow-up at a mean of 15 months, 38% had had wart treatment (over-the-counter agents, physician treatment, or both). Complete resolution was defined as the absen…