Treating Genital Warts and Benign Facial Lesions: A 45-Year-Old Male Case in Katy & Houston, TX
At Village Dermatology, we provide both medical and cosmetic dermatologic care for a wide range of conditions. This case highlights a 45-year-old male from the Katy and Houston, Texas area who presented with genital warts and benign facial growths known as dermatosis papulosa nigra.
Patient Presentation
The patient came in for:
Genital warts – Located on the suprapubic area, penis, and proximal thigh, present for several years and recently spreading.
Brown facial lesions – Located on both cheeks, present for years without treatment.
He reported that:
The warts had recurred after 7 years
Over-the-counter cryotherapy did not help
No personal or family history of skin cancer
No family history of melanoma
Clinical Examination
Using a dermatoscope, we identified:
Facial Lesions: Dermatosis Papulosa Nigra
Brown, small, verrucous papules
Located on both cheeks
Benign in nature
Cosmetic removal possible via light electrodesiccation (patient declined treatment for now)
Genital Warts: Verruca Vulgaris (Condyloma)
Multiple lesions on:
Suprapubic skin
Left dorsal shaft of penis
Base of penis
Right dorsal shaft of penis
Right anterior proximal thigh
Associated mild inflammation
Understanding the Conditions
Dermatosis Papulosa Nigra
A benign skin growth common in people with darker skin tones. These lesions:
Are harmless
Do not require treatment unless for cosmetic reasons
Can be removed with minor in-office procedures
Genital Warts (Condyloma Acuminata)
Caused by the human papillomavirus (HPV):
Sexually transmitted
Can recur even after treatment
Linked to certain cancers, particularly cervical cancer in women
Treatment Plan
For Genital Warts
Liquid nitrogen cryotherapy performed on 15 lesions during the visit
Patient counseled on:
The possibility of recurrence
Preventing transmission through abstinence until cleared
Ensuring all sexual partners, especially females, receive regular Pap smears
For Dermatosis Papulosa Nigra
Observation for now
Option for cosmetic removal in the future if desired
Follow-Up Plan
One-month follow-up for re-evaluation and additional cryotherapy if needed
Patient advised to return sooner if:
Lesions worsen
New warts appear
Any changes in facial lesions are noticed
Why This Matters for Katy & Houston Residents
At Village Dermatology, we combine medical expertise and patient education to manage both health-related and cosmetic skin concerns. Whether it’s HPV-related genital warts or benign facial lesions, our approach focuses on:
Accurate diagnosis
Tailored treatment plans
Preventive education to reduce recurrence and complications
If you live in Katy or Houston, Texas and have skin lesions that are spreading, changing, or causing concern, our team is here to help.
