Wart Treatment: What to Expect After Cryotherapy - Dermatology

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After the wart scab falls off?


Hello, doctor! I have three warts on my hand.
Although they are not painful or itchy, I found the black spots on my hand strange, so I underwent cryotherapy.
The doctor mentioned that these are very early-stage viral warts.
I didn't know warts had stages! I would like to ask: 1.
After the scab from the cryotherapy falls off, how can I determine if the wart has healed? 2.
Is there anything I need to pay attention to after the scab falls off, or can I just leave it alone? 3.
I previously had similar black spots on my hand that disappeared after peeling off on their own.
Did they heal by themselves? Thank you, doctor, for answering my questions!

Xiao An, 20~29 year old female. Ask Date: 2016/05/21

Dr. Wu Yuxin reply Dermatology


1.
You need to see it in person to truly understand.

2.
Follow-up visits are necessary to confirm if there are any residuals or recurrences.

3.
Uncertain.

Reply Date: 2016/05/21

More Info


Cryotherapy is a common and effective treatment for warts, which are benign growths caused by the human papillomavirus (HPV). After undergoing cryotherapy, it’s important to understand what to expect during the healing process and how to care for the treated area. Here’s a comprehensive overview based on your questions.


1. How to Determine if the Wart Has Healed After Scab Falls Off
After cryotherapy, the treated wart will typically form a blister and then a scab. Once the scab falls off, you should observe the area closely. A few indicators that the wart has healed include:
- Skin Appearance: The skin should appear smooth and normal in color. If the area looks flat and resembles the surrounding skin, it’s a good sign that the wart has been successfully treated.

- Absence of Wart Tissue: If you notice that the wart tissue (which is often raised and rough) is no longer present, this is another positive sign.

- No Pain or Discomfort: Healing skin should not be painful or tender. If you experience pain, it may indicate that the wart has not fully healed or that there is an infection.

It's important to note that some warts may require multiple treatments for complete removal, so if you still see any remnants of the wart or if it appears to be growing back, consult your healthcare provider for further evaluation.


2. Care After Scab Falls Off
Once the scab falls off, you should take care of the area to promote healing and prevent infection:
- Keep the Area Clean: Gently wash the area with mild soap and water. Avoid scrubbing the area to prevent irritation.

- Moisturize: Applying a thin layer of a fragrance-free moisturizer can help keep the skin hydrated and promote healing.

- Avoid Picking: Do not pick at the area, as this can lead to scarring or infection.

- Watch for Signs of Infection: Be alert for increased redness, swelling, warmth, or pus, which could indicate an infection. If you notice any of these symptoms, contact your healthcare provider.


3. Previous Black Spots That Disappeared
It’s not uncommon for some skin lesions that resemble warts to resolve on their own. This can happen due to the body’s immune response to the virus. If the black spots you previously had on your hand disappeared without treatment, it’s possible that your immune system effectively fought off the virus responsible for those lesions.
However, it’s essential to differentiate between warts and other skin conditions, as some may require medical attention. If you notice any new growths or changes in your skin, it’s advisable to consult a dermatologist for an accurate diagnosis.


Conclusion
In summary, after cryotherapy for warts, monitor the treated area for signs of healing, maintain proper care, and be vigilant for any signs of infection. If you have any concerns about the healing process or if the wart appears to return, don’t hesitate to reach out to your healthcare provider for further guidance. Understanding the nature of warts and their treatment can help alleviate concerns and ensure effective management of your skin health.

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