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Intra-anal warts are present primarily in patients who have had receptive anal intercourse,. Hpv, the virus responsible for warts, makes wart cells grow rapidly, which in turn makes it an excellent candidate for fluorouracil use. There are two different strengths of fluorouracil fluorouracil (efudex) 5 cream. Fluorouracil is not the first medicine doctors recommend for genital warts. Fluorouracil may be used at home after a doctor shows you how to apply it. Fluorouracil may be most useful for treating warts on the vulva, penis, and anal area and at the opening to the urethra. The agent 5-fluorouracil is chemotherapeutic and is fda-approved for actinic keratoses and basal cell carcinomas. However, there has been a great deal of interest in its off-label use for the hpv virus. We typically use efudex in our treatment course for warts as it is has 10 times the strength of carac cream. Patient presentation a 4-year-old male came to clinic for treatment of plantar warts that had been present for less than a month. His mother had tried salicylic acid inconsistently and wanted cryotherapy. The past medical history showed a healthy male and the review of systems was normal. Aldara is not a cure for genital warts and it may not keep you from spreading this condition to others through vaginal, anal, or oral sex. For best results, keep using the medicine for the entire length of time prescribed by your doctor. Efudex, or fluorouracil, has been an important part of my life for the last four years. Efudex, also known as efudix, is one of several topical medications used by skin cancer patients. This particular cream is a topical chemotherapy applied to the skin in areas where sun damage has occurred. Anal warts definition anal warts , also known as condyloma acuminata, are small warts that can occur in the rectum. Description initially appear as tiny blemishes that can be as small as the head of a pin or grow into larger cauliflower-like protuberances. They can be yellow, pink, or light brown in color, and only rarely are painful or.   actinic keratoses are usually 1 centimeter or less in diameter, generally slightly scaly (with occasional instances of lesions which become thick with scale, as with warts), and with a pink, red.

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