Warts: Transmission Risks and Concerns for Infants - Dermatology

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Regarding the transmission of warts?


Hello, doctor.
I apologize for bothering you.
I have searched for answers to similar questions but couldn't find the information I need.
I have been unaware of the warts on my hands and feet, thinking they were calluses for about a year.
I only discovered them in the past week or two.
My biggest concern is that my baby is seven months old.
I'm worried that while I bathe him and have contact with him, especially since he crawls on the bed, I might transmit the warts to him.
Also, isn't there an incubation period for this? Could it be that my baby has already been infected? I'm really worried.

Wu Mama, 20~29 year old female. Ask Date: 2017/01/26

Dr. Li Yufen reply Dermatology


Hello: The contagiousness of viral warts is not very strong.
If the baby's skin is intact, without any cuts or wounds, and the immune system is normal, you can continue to monitor the skin for any abnormalities.
However, the mother may need to seek treatment from a dermatologist as soon as possible.
Thank you!

Reply Date: 2017/01/26

More Info


Warts are benign growths on the skin caused by the human papillomavirus (HPV). They can appear on various parts of the body, including the hands and feet, and are generally harmless. However, concerns about transmission, especially to infants, are valid and warrant a thorough understanding.

First, it is essential to recognize that warts are contagious. They can spread through direct skin-to-skin contact or indirectly through contaminated surfaces. For instance, if you have warts on your hands and you touch your baby, there is a potential risk of transmission. Additionally, warts can also spread through shared items like towels or bedding. However, the risk of transmission is not absolute; not everyone who comes into contact with the virus will develop warts, as individual immune responses play a significant role.

Regarding the incubation period, HPV can have a variable latent period, which means that it can take weeks or even months for warts to appear after exposure to the virus. This can make it challenging to determine when or how the virus was contracted. In your case, since you have had warts for about a year without realizing it, it is possible that you could have been contagious during that time, but it does not necessarily mean your baby has contracted the virus.

To address your concerns about your seven-month-old baby, it is crucial to monitor for any signs of warts or unusual skin growths. Warts in infants can manifest as small, rough bumps, often resembling tiny cauliflower heads. If you notice any suspicious growths on your baby’s skin, it is advisable to consult a pediatrician or a dermatologist for an evaluation.

In terms of prevention, maintaining good hygiene practices can help reduce the risk of transmission. Here are some recommendations:
1. Hand Hygiene: Wash your hands thoroughly with soap and water after touching your warts and before handling your baby. This can help minimize the risk of spreading the virus.

2. Avoid Sharing Personal Items: Do not share towels, washcloths, or any items that come into contact with your skin. This includes avoiding sharing bedding or clothing that may have come into contact with your warts.

3. Limit Direct Contact: While it may be difficult to avoid all contact with your baby, try to limit direct skin-to-skin contact with the areas where you have warts until they are treated or resolved.

4. Seek Treatment: Consider consulting a dermatologist for treatment options for your warts. There are various methods available, including cryotherapy, topical treatments, and laser therapy, which can effectively remove warts and reduce the risk of transmission.

5. Monitor Your Baby: Keep an eye on your baby’s skin for any changes or growths. If you notice anything unusual, seek medical advice promptly.

In conclusion, while there is a risk of transmitting warts to your infant, practicing good hygiene and monitoring for symptoms can help mitigate this risk. If you have any further concerns or if your baby shows any signs of warts, do not hesitate to reach out to a healthcare professional for guidance and support.

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