New-Onset Plantar Warts in an 11-Year-Old Male – Case Report from Village Dermatology in Katy & Houston, Texas
At Village Dermatology, we frequently treat verruca vulgaris (common warts) in children, teens, and adults. These growths, caused by the human papillomavirus (HPV), often appear on the hands or feet and can be stubborn — especially when located on weight-bearing areas like the soles. This case highlights early intervention in a pediatric patient with painful plantar warts.
Patient Background
An 11-year-old male presented with painful warts on the bottoms of both feet. The lesions had been present for about three weeks and were increasing in size. The patient had already tried over-the-counter salicylic acid and cryotherapy without improvement.
Clinical Examination
A focused skin exam of both feet revealed:
Left medial plantar heel – enlarging wart.
Right medial plantar midfoot – enlarging wart.
The patient was otherwise healthy, alert, and in no distress.
Discussion & Education
The patient and his mother were educated on verruca vulgaris, including:
Warts are cauliflower-like bumps caused by HPV.
They are not dangerous but can be contagious through direct contact.
They may resolve spontaneously, but treatment can speed resolution and reduce discomfort.
Multiple treatment sessions may be needed for complete clearance.
Treatment Plan
After reviewing options — liquid nitrogen cryotherapy, cantharidin application, and candida antigen injection — the family chose liquid nitrogen (LN2) therapy.
Cryotherapy Procedure:
Treated two lesions with LN2.
Discussed risks including crusting, blistering, pigment changes, scarring, recurrence, incomplete removal, and infection.
Obtained verbal consent before treatment.
Follow-Up
The patient will return in one month for reassessment and additional treatments if needed.
Key Takeaway for Parents in Katy & Houston, Texas
Plantar warts in children can be painful, especially when located on pressure points of the feet. Over-the-counter treatments may not always work, and professional care with options like liquid nitrogen cryotherapy can provide more effective results. At Village Dermatology, we use a variety of treatments tailored to the patient’s needs to help remove warts and prevent recurrence.
If your child has painful or persistent warts, schedule an appointment at our Katy or Houston, Texas locations for expert evaluation and treatment.
