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 Warts, Moles, & Funny Skin Discolorations

After having oodles of warts and mole cases one month, I noticed a bunch of articles and television shows expounding the benefits of duct tape in getting rid of these pesky things. Apparently the success rate is over 75%. Well, that got me wondering so I extensively researched warts and moles and came up with this information.

If the duct tape method doesn’t work, here’s about 58 other natural methods to try for warts and moles! If they fail, I guess you can just have them surgically removed. Whatever toots your horn! Good luck. Dr. Moffat

Definitions:

Warts (also called Verruca) can be viral or non-viral in origin and cancerous or non cancerous growth proliferations of skin cells. The most common virus responsible for warts is the Human Papilloma Virus. A Mother Wart is a single wart when, over time, appears to put forth seeds so that new warts grow up around it.

Moles or Nevi are proliferations of tissue inside as well as outside the body. Predisposed areas inside the body surround the ovaries and uterus. Moles usually appear after birth and are not flat like birthmarks.

Fun Fact: Did you know that you can even have your moles read (like in a face reading only they read your moles?) This is part of the Chinese Art of "Mian Xiang" (check it out at http://www.flickr.com/photos/hey-gem/75173087)

Tag Warts or Cutaneous Papillomas or Skin Tags are proliferations of skin that cause an appendage, flap or polyp on the skin. These are usually flesh colored or brown.  

Red Spots and Marks are called: Strawberry Birthmarks, Red birthmarks, Stork bites, Angioma Cavernosum, Capillary Hemangiomas, Hemangioma Simplex, and Strawberry Marks. These are colored vascular skin markings which develop at or shortly after birth. They are usually painless and harmless with unknown cause and are most commonly on the face, scalp, back, and chest. Ninety-five percent of these disappear by the time a child is nine years of age.

Angioma Cavernosum or capillary hemangiomas are red blue and spongy and also go away without treatment.

Port Wine Stains and Hemangiomas are flat and usually appear on the face. They are not harmful, but emotionally annoying as people point at you all the time.

Salmon Patches or Stork Bites are extremely common in newborns. These are pink or red, flat and common on the head. Generally they fade as the infant grows. Those on the back of the neck may never fade, but the hair usually covers them up.

Pigmented Birthmarks, Birthmarks also called Cafe-Au-Lait Spots, Congenital Nevus, Hairy Nevus, Mole, Nevi, and Nevus Sebaceous are areas of pigmented skin with an extra dose of melanin (the hormone that causes you to tan). The color of birthmarks ranges from brown to black, bluish to grey.

Red Moles or Small Cherry Angiomas are seen in virtually every individual over 25 years of age.  Occasionally they occur sooner.  They are not associated with any significant abnormality and tend to increase with age. The extent in number probably is genetically determined. 

Spider Mole Nevi (Spider angioma or Nevus Araneus) are red skin lesions in the shape of a spider and are common in pregnancy and in liver disease. They most commonly occur on the face and trunk and can be about ½ inch in diameter.

Mongolian spots or Mongolian Blue Spots are a non-harmful, non-cancerous type of birthmark that appears on dark-skinned people. These look like a bruise and don’t usually go away. They are usually located on the low back, buttocks, trunk and arms.   

Causes & Prevention of Warts

Warts are an infection of the skin that become those unsightly bumps on various parts of your body or the soles of your feet, and are caused by specific wart viruses. They come and go, sometimes with or without treatment, and sometimes won't go away no matter what treatment is given.

Some individuals are more susceptible than others to having warts. As any virus, warts are contagious, but not in the normal sense of being contagious as in catching someone else's cold. The other person needs to be susceptible to the virus. Only genital warts and those around the anus are contagious in the normal sense, and care must be taken not to spread them to others.

Warts and moles can be the result of nutritional deficiencies (often potassium) and they should be treated internally, as well as externally with the appropriate nutritional supplement or homeopathic. We use Professional Complementary Health Formulations Wart Formula in our practice with fairly good success and often I will use an herbal wormer formula containing Black Walnut, Wormwood and ground Cloves mixed with a bit of oil to make a poultice to apply on a mole overnight and that will do the trick.  Note: Leaving these poultices on for twice the amount of time will burn the skin!

General Information about Warts and Moles

Moles are spots on the skin, collections of pigment cells, which appear brown, blue, black, or flesh-colored. Some moles have a high risk of becoming cancerous and exposure to the sun can trigger malignant melanoma in moles or previously normal skin. Check with your physician if you notice a change in any mole.

There are Five Types of Warts:

A wart is a non-cancerous skin growth caused by a viral infection in the skin.  In general, warts are pale, skin-colored growths with a rough surface, even borders, and blackened surface capillaries. Normal skin lines do not cross a wart's surface. And, contrary to popular opinion, warts are very shallow growths—they don't have "roots" or "runners" that go down to the bone. Forty to fifty percent of all warts eventually disappear on their own, typically within two years. Children in particular often lose warts spontaneously.

1) The Common wart has an elevated, rough, dry surface, and may occur anywhere on the body but are hard to treat when on fingers or around nails.

2) Flat warts are usually flat, multiple lesions that can occur anywhere: faces, arms, backs of hands and legs are the most common areas. This type is especially common in women who shave their legs and also in bare areas of men. Flat warts are smaller and smoother than other warts and tend to grow in large numbers at any one time.

3) Plantar warts are found on the soles of the feet and are contagious. Plantar warts are frequently picked up in moist areas such as bathrooms, locker rooms and around swimming pools. Keeping your feet dry after being in one of these areas is the best method of prevention.

4) Genital warts (Condyloma or Condylomata acuminata) are found around the genital areas of men and women and around the anus. They can be large and fleshy or look like regular warts and are highly contagious. There are several strains of the Human Papilloma Virus (HPV) that can cause these warts and other strains of HPV cause cervical cancer. We carry homeopathic drops for both HPV and STO (Sexually Transmitted Organisms) that works pretty well.  Genital warts often occur in clusters and can be very tiny or can spread into large masses in the genital or anal area. Symptoms are less obvious in men, but in women can affect both inside an outside the vagina and anus.

Note: If you have had genital warts, you should be tested for cervical cancer at least once every year because HPV is responsible for over 90% of all cervical cancer cases. Cervical cancer can be prevented with regular screening (PAP smears), and can be cured in most cases when it is detected in early stages.

Note: Condoms do not protect you from getting warts as the virus can go right through the condom.

5) Warts can also be found on the lips and in the mouth. These appear as small, moist, whitish bumps. This type is not common.

Are you sure it’s a wart? Normally, you'd think it would be pretty easy to identify a wart, but it's amazing how many people end up treating skin cancers or other growths as warts. So if you have the slightest doubt about what you're dealing with, see a doctor.

Should you treat your wart? That really is left to personal preference. Plantar warts are painful, so treatment for these is usually necessary. Genital warts or those around the anus also need to be treated by a physician so they don't spread. Don't try to treat this type yourself. Other warts may go away on their own, or you may want to treat them. Vanity and personal comfort, as in having warts in areas that need shaving or where clothes rub (like underneath bra straps), may be the determining factor. If you decide to treat them, start with the simplest method. If that hasn't worked in three weeks, progress to more aggressive methods.

You must treat all the warts in a given area so they don't continue to spread. If they are in an area you shave, stop shaving if you scrape them or use a hair removal cream, as the scraping will spread the wart virus. For plantar warts, start with the duct tape or tape and castor oil methods, then, if these treatments are not effective, progress to a more aggressive method. Use a pumice stone or some other type of scraper to get off the dead skin before applying more medicine. Plantar warts are difficult to get rid of and may take three to six weeks before any progress is noted, so be patient.

Factors That Increase Your Risk of Becoming Infected by Warts Include:

         ·      Having other STDs (Sexually Transmitted Diseases)

·      Multiple sex partners

·      Smoking

·      Jobs or hobbies that use gas, tar, pitch, petrochemicals and coal tar

·      Certain vitamin deficiencies

·      Medications or medical conditions that suppress the immune system, such as AIDS

·      Going barefoot (especially in public places) or wearing only one pair of shoes so that your shoes cannot air out properly between uses

·      People who do not attend to cuts on their cuticles (allows the wart virus into fingers) Apply appropriate antibiotic ointments to cuts/abrasions

·      People who pick at their own warts can spread them to other parts of their body

·      People under stress and with poor eating habits (eating lots of sugar) have suppressed immune systems and can be more susceptible to viruses in general

Rule Outs

(Diseases that look similar to warts and moles but are not):

Fordyce’s Spots: Genital warts should not be confused with Fordyce’s Spots (See Link for a great picture of these on a man’s penis), which are considered benign. These are 1mm sized  painless, raised, white or pale dots.  Fordyce's spots On the head of the penis these are called Tyson Glands and looks similar to Pearly Penile Papules (PPP or Hirsuties Papillaris Genitalis) which is a non-contagious condition of serum filled dots that surround the corona (head) of the penis. Lesions are persistent and remail through the lifetime of the individual. Here is a picture of what Fordyce’s spots look like: http://en.wikipedia.org/wiki/Hirsuties_papillaris_genitalis

Pyogenic granulomas, which look like red moles and are often caused from trauma (like shaving or cuts) are inflammatory vascular lesions (a low-grade infection) that may enlarge and may bleed but are completely benign. 

Home Remedies for Warts and Moles:

(Collected from various resources on the internet and from my personal library.)

• Aloe Vera has been used to help remove warts by applying the juice of the fresh leaf daily for a period of weeks until the wart is reduced or removed.

·  Aloe Soak: Soak a small piece of cotton in aloe gel and tape this over the wart. Add more gel every three hours with an eye dropper. Change cotton daily. The wart should begin to dry up in a few days and in a few weeks may disappear.

· Apple cider vinegar (also known as ACV):  Soak your wart in warm water for twenty minutes; dry thoroughly; apply full strength apple cider vinegar with a cotton ball and leave on for ten minutes; wash off with tepid water; dry. Another way to use apple cider vinegar is to keep a plastic container with a lid in the bathroom with enough vinegar to cover your foot. After each daily shower dip your foot with the plantar wart in the container. Place a towel on the floor to dry your foot off after the vinegar bath. Don't rinse the vinegar off. One woman tried this saying the pain from the wart disappeared after one bath, and over a period of several weeks the warts got smaller, turned dark and disappeared. She said she had tried everything over a period of 15 years including surgery, nitrogen, creams and ultrasounds to no avail.

· Ashes: Apply wood ashes to the wart.

· Aspirin: Dissolve a regular aspirin with a small drop of water and apply to the wart; cover with a Band-Aid; repeat twice daily. If this method irritates the skin around the wart, apply some Vaseline around the area with a Q-tip.

· Baking soda: Rub the wart three times daily with a solution of baking soda and water.

· Banana: Take a piece of ripe banana peel and apply the pulp side to the wart and tape securely. Leave the peel on except when bathing, changing daily. This remedy may take several months, but has been effective in getting rid of stubborn plantar warts. Other sources suggest using an unripe banana, as certain healing compounds are more concentrated in the peels before they ripen. Gee, this one sounds tedious!

• Black Ointment: Dr. Christopher's Black Ointment is drawing ointment for warts and has historically been used externally on old ulcers, tumors, boils, warts, skin cancers, hemorrhoids, burns and as a healing agent. This is made with chaparral, comfrey, red clover blossoms, pine tar, mullein, beeswax, plantain, olive oil, mutton tallow, chickweed, poke root. Other formulas include herbs that act as an herbal lye and can eat through the skin to an amazing depth. Note that quite a bit of pain may be associated with this treatment. I’d advise that you have someone who has used this ointment closely supervise this particular treatment!

• Black walnut tincture has been used with such success if the mole or wart is caused from a parasite.

• Cashew Oil: The cashew oil, which must be used with great caution, is used as an application to warts, corns, ringworms, cancerous ulcers. I’ve never used this product and don’t even know where to get it.

· Cashews: Rub a  raw cashew on the wart several times a day. Another remedy is to chew the cashew and take a small amount of the mixture and place it on the wart. One internet reader stated that he had used this remedy to get rid of a wart he had for 25 years. It took 2-3 weeks for the wart to disappear.

· Castor Oil and Bandage: Apply a half drop of oil to the wart twice daily and cover the wart with some form of first aid tape or bandage. Keep the bandage on 24 hours a day for three weeks, removing only to put on a new one.

· Castor Oil Toothpick: Another variation is to touch the wart with a toothpick soaked in castor oil. (See vitamin A remedy below.)

· Castor Oil Method #1: Apply castor oil to the wart and rub twenty times or so with your finger. Do this at night and in the morning. The wart should disappear in three to four weeks.

• Castor Oil Method #2: Apply castor oil or garlic oil to the area several times a day and taping a piece of gauze soaked with this oil over the wart during the night will aid in clearing the condition.

· Chalk: Rub the wart daily with a piece of white chalk.

· Cut the wart: Some scientific researchers believe that by cutting the wart it creates antibodies to itself and attacks itself. I haven’t found this to be too successful. I’ve gone over a wart on my knee with my razor time and time again and it’s still there. I think I’ll try duct tape next!

· Dandelion Milk: Break open the stem of a dandelion and rub the milky sap on the warts in a circular motion. Do this two or three times a day until the wart disappears. This was the favorite remedy of Will Greer, Grandpa Walton on the TV show "The Waltons."

· Dermatend: An herbal mole remover you can purchase on the internet that is talked about by Dr. Andrew Weil. Here’s the Link: http://www.skin-cancer-mole-picture.com

• Duct Tape: A 2002 study done at the Madigan Army Medical Center in Tacoma, WA found that placing a piece of duct tape the exact size of the wart over the wart was successful in removing the wart 85% of the time and was better than the standard method of freezing the wart (only 60% successful). CBS ran a TV show on this technique. Here’s how it works: Place the tape on the wart for six days, then remove it; soak the wart in water; gently scrape the wart with an emery board or pumice stone; leave the tape off for a night; repeat for up to a month. Remember to disinfect the stone or emery board so that you don’t pass any viruses on to anyone else or re-infect yourself. Here is an article to read on this duct tape technique: http://www.aafp.org/afp/20030201/tips/8.html

• Garlic Method #1 for Warts and Moles: Take a button of garlic, slice or cut in two, and place the cupped area over a wart of mole and tape it on. When the garlic dries out, put on fresh piece. Many users have reported good results.

· Garlic Method #2: Dice some fresh garlic and rub on the wart.

• Garlic Method #3, Fresh Juice of: The use of a clove of garlic cut in half (or mashed or grated) and kept over the wart all night until it is gone has aided many.

· Glue: Apply Elmer's glue to the affected area. Leave on as long as it stays; scrape off and reapply.

· Grapefruit Seed Extract (GSE by Nutribiotic) This extract is a powerful all-around antimicrobial product and is an excellent disinfectant. Apply a drop directly to the wart and cover with a Band-Aid; repeat twice daily. The wart will turn white and fall off in about a week. This one can burn.

· Herbal Tinctures: The combination tinctures consists of Blue Vervain, Black Cohosh, Blue Cohosh, Skullcap and Lobelia herbs in equal parts, using 90 proof or stronger alcohol as a base. This treatment did not say if you are supposed to put it directly on the wart or to take it internally or both.

· Homeopathic—Antimonium crudum and Berberis: Given about 6 p.m. each remedy on alternate days.

· Homeopathic—Causticum and Nitric acid: Given upon waking, each remedy on alternate days.

· Homeopathic—Thuja : Usually given upon waking.

· Homeopathic—Wart Formula by Professional Complementary Health Formulations containing Lacticum acidum, Scrophularia nodosa, Thuja occidentalis, Causticum, Dulcamar, Calcarea carbonica, Naturum suphuricum, Naja tripudians.

· Hydrogen peroxide: Dab 35% (food grade) hydrogen peroxide on the warts with a  Q-tip. Hydrogen peroxide of this strength can burn your skin, so be very careful when applying it.

· Iodine: Apply iodine daily.

· Lemon juice: Apply lemon juice to the wart and rub in gently. Repeat two or three times daily.

· Liver, desiccated: Take three tablets three times daily. This supplement is rich in B-vitamins and sulfur.

· Milkweed: Apply milkweed juice to the wart.

• Mucousless Diet: Adhere to the mucusless diet and add plenty of raw carrots, kelp, dulse, or sea weed and onions to the diet.

· Onion for Warts: Cut an onion in half, scoop out the middle and put in about 1/2 teaspoon of salt. After several hours the salt will draw the onion's juices which can be applied to the wart several times a day.

· Oregano Oil: Place one drop of oil of oregano on the wart nightly. The wart should disappear in a few days. Oregano kills viruses.

· Papaya: Lightly apply the milky latex juice from a green papaya to the wart; repeat several times a day. Within a week or less the wart should be gone.

· Pineapple: Rub a slice of fresh pineapple on the wart. Keep applying frequently, as needed. Hey, it this doesn’t work at least you can lick the juice off.

• Potassium Deficiency for Warts and Moles: When cysts or tumors grow in places where they can be seen outside the body, often we react by having them cut out. Unless you go to the cause, they will grow back again, and you may end up with as many or more cysts, tumors, moles as before. So, see how many other potassium deficiency signs you have. If you have quite a few symptoms, adding a potassium supplement to your diet may be in order. One good source of potassium is Potassium Broth. I’ve read that the broth comes in capsule form (I’ll have to look into that!)

· Potato: Rub the wart with raw potato peelings.

· Radishes: Rub the wart daily with a radish.

· Salicylic acid: Salicylic acid (15%) is a more aggressive treatment method and should be used with care as products containing salicylic acid can burn your skin. I don’t know what % salicylic acid is contained in regular aspirin, but that method is listed above.  Compound W is one of these products. To use these products, apply them only to the wart, not on the surrounding skin; allow to dry thoroughly. Do this twice daily and soak and rub the dead wart tissue away before reapplying. If you get pain or irritation, stop for a few days before starting again. For small flat warts, apply the salicylic acid with a toothpick or other small applicator, and follow the above directions. The British Medical Journal surveyed 50 trials and reported that this remedy cured non-genital warts in 75% of the cases as opposed to 48% using a placebo. Hmm. Duct tape seems safer. I’d try that first.

· Salicylic acid plaster: This remedy is good for warts on the soles of your feet or the palms of your hands. This product destroys wart tissue, and, as the remedy mentioned above, must be used carefully. I think they are talking about an Aspirin plaster here.

• Sassafras for Warts: Mix the oil (undiluted) with a thick sugar syrup and apply to the affected part.

• STO Homeopathic drops: This combination formula from Professional Complementary Health Formulations is used to treat Sexually Transmitted Organisms such as: Lymphogranuloma, Medorrhinum, Pseudomonas, Gardnerella, Trichomonas, Syphilis and Chlamydia. Some of these may be involved in genital warts.

· Tape: Cover the wart with any kind of medical or first aid tape or a Band-Aid and leave on around the clock for three weeks, removing only to change the tape. This may cure the wart.

· Tea: A tea made from purple coneflower (Echinacea), Burdock Root or Red Clover may build up your immunity to warts. All three of these herbs are anti-viral.

· Thuja: Apply a drop of Thuja herbal tincture directly on the wart from a dropper. I’ve also heard of people using the homeopathic version for warts.

●Tormentil for Warts: Apply the decoction (Potentilla erecta) as a fomentation, wrap with plastic bandage; when nearly dry, renew the application. Also drink the decoction internally.

·        Vitamin A Palmitate Method #1: Doses of 25,000 I.U., taken daily for a week to six months, had very good results in several tests. Too much Vitamin A can be toxic to the body as it is a fat-soluble vitamin that builds up in the liver.

·        Vitamin A Method #2: Crush a Vitamin A capsule and mix it with just enough water to make a paste and apply this directly to the wart. In the afternoon apply a drop of castor oil, then in the evening apply a drop of lemon juice. (Sounds complicate!)

·        Vitamin A Method #3: Another source says to get capsules that contain 25,000 international units of natural vitamin A from fish oil or fish-liver oil. Simply break open a capsule, squeeze some of the liquid onto the wart, and rub it in. Apply this once a day.

Note: It’s nearly impossible to overdose on foods high in Vitamin A and Cataplex A (A whole-food based vitamin A made by Standard Process labs) but taking synthetic Vitamin A (the Palmitate form and the kind you can get at the drugstore) can be harmful if taken in mega doses .

·        Vitamin E: Put the contents of one 100 I.U. of natural vitamin E capsule on a Band-Aid and cover the wart. Warts will soon disappear.

·        Walnuts, Black: Take some green (not fully ripe) black walnut hulls and make a few incisions in the outer shell; rub the juice on the warts. There may be a slight stinging sensation or the area may turn brown, but this is only temporary. Very effective says one source.

·        Wart Buyers: There are certain people, like Billie Lawler in Ireland, who have special gifts and talents who buy warts. These people actually pay YOU to purchase your warts. But, if you spend the money the wart buyer gives you the wart will come back. One website explains:  "In addition to the coins there are also certain prayers involved. They were passed on to me by Uncle Billy in the same way I'll pass them on to my son. And, as I say, the minute I do that I will lose the cure myself and he'll have it. That's the way of it". To read more, go to: http://www.emigrant.ie/article.asp?iCategoryID=142&iArticleID=14408

·        Washing soda: Dissolve as much soda as the water will take up and wash the affected area for a minute or two; allow to dry without being wiped. Doing this for several days will destroy most warts.

• Wild Lettuce for Warts: The expressed juice is "much regarded as an application to boils, abscesses and carbuncles, and if put upon warts will cause them to drop off. This works much the same as Dandelion and Milkweed juice. The milk contains lots of alkaloids in it.

Medical (Allopathic) Treatments for Warts:

Treatments such as anti-cancer drugs, new vaccines, cryotherapy (liquid nitrogen), acid preparations, laser therapy, and surgery have been used in the management of warts, with cure rates ranging from 32 to 93 percent. However, most of these therapies are expensive, painful, or labor intensive. Here’s a list of what’s out there:

·        5-Fluorouracil 5% Cream (5-FU) is applied to affected areas. Do not use if trying to get pregnant.

·        Electrocautery is used to burn off warts. Ouch.

·        Gardasil (HPV Vaccine) a vaccine used in the prevention of genital warts. Lots of controversy here. Best when given before being exposed to the Human Papilloma Viruses (before sexual activity has begun.)

·        Imiquimod (Aldara) is a topical immune response cream which is applied to affected areas.

·        Interferon-alpha is injected directly into the wart. Expensive and does not reduce the rate of genital warts returning.

·        Liquid Nitrogen (Cryosurgery) to burn off the warts.

·        Podofilax solution (0.5%) is applied to affected areas but not washed off. Not safe for pregnant women. May cause birth defects.

·        Podophyllin 20% is an anti-mitotic solution applied to affected area and then washed off prevents cells from replicating. Not safe for pregnant women. May cause birth defects.

·        Pulsed Dye Laser treatments

·        Surgical removal of larger warts is in order if the other treatments do not work. Often in my veterinary practice I would remove small dog warts and tag warts under a local anesthetic and use a silver nitrate stick to stop the small amount of localized bleeding. It’s annoying for the groomers to nick these warts.

·        Trichloroacetic Acid (TCA) Topical application to burn off the warts.

Links to Pictures of Warts, Moles, Nevi, Birthmarks:

• http://www.otan.dni.us/webfarm/emailproject/warts.htm

• http://en.wikipedia.org/wiki/Genital_warts

• http://www.niaid.nih.gov/factsheets/stdhpv.htm

• Here is a list of all the different types of nevi and their definitions that is really complete:

• http://medical-dictionary.thefreedictionary.com/sebaceous+nevus

• Read the moles on your face and ears to see what they mean here:

• http://www.marthatierney.com/moles.html

Genital Warts Pictures (condyloma, or condylomata acuminata)

Please be advised that these links will take you to genital wart pictures that are graphic!

From: http://cancer.about.com/od/hpv/a/HPVpictures.htm

• Genital Warts on Penis #1

• Genital Warts on Penis #2

• Severe Genital Warts on Penis #3

• Genital Warts on the Vulva (Collection of Photos)

• Severe Genital Warts on Vulva and Cervix

• Anal Warts

From Wikipedia:

• Image:SOA-Condylomata-acuminata-man.jpg

• Image:SOA-Condylomata-acuminata-female.jpg

• Image:SOA-Condylomata-acuminata-around-anus.jpg

Links to picture of moles (nevi):

Here’s a great link that shows pictures of 12 different skin moles. Some of them do look like polyps (which could technically also be warts)

http://www.dermnet.com/thumbnailIndex.cfm?moduleID=14&moduleGroupID=191&groupIndex=4&numcols=0   Some of these types are easily shaved or cut off.

Skin Cancer Mole Pictures. Here is a great link to all kinds of pictures for moles gone wild (dysplastic nevi mole pictures) : http://images.google.com/images?q=skin+cancer+mole+picture&hl=en&rls=GGLG,GGLG:2005-45,GGLG:en&um=1&sa=X&oi=images&ct=title

Strawberry Birthmark Photos: http://images.google.com/images?svnum=10&hl=en&rls=GGLG%2CGGLG%3A2005-45%2CGGLG%3Aen&q=strawberry+birthmark

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