Wart virus, skin
Hello, doctor.
In April, my husband trimmed our son's toenails without realizing that one of them had a viral wart.
My husband has athlete's foot and often picks at his feet.
At the beginning of June, he mentioned that there was something on the bottom of his foot that looked like a bruise.
I suggested it might be a viral wart, but he dismissed it.
Then, around June 10, when I was trimming our son's toenails, I noticed a small bump under one of his toenails.
When I asked him when it appeared, he said it had been there since April when his dad trimmed his nails.
At first, it didn't seem concerning, but three days later, I wondered if it could be a viral wart.
I checked my husband's foot, and after two weeks, the bruise had not gone away, so I took them both to see a doctor, and it turned out to be viral warts.
I usually help my son bathe, and last Thursday, I noticed a tiny bump on my finger that the doctor said looked like a wart but wasn't certain, so I underwent cryotherapy.
Am I at risk of being infected by my son? Recently, I've noticed two or three more bumps on my fingers.
1.
I wash my hands frequently; why would I still get infected?
2.
Why do my son and husband have plantar warts while I have common warts on my fingers? Aren't the viruses different types?
3.
My son sometimes wears my slippers; could I develop warts on my feet as well? I don't see any on my feet currently.
4.
What is the incubation period for warts?
5.
What conditions are necessary for the viral warts to enter the human body?
6.
How long can viral warts survive outside the human body?
7.
If the virus falls on the ground, can it be killed with alcohol disinfection, or can hypochlorous acid kill the virus?
8.
My older son has atopic dermatitis, and last Friday, I saw a tiny bump on his palm that looked a bit like the one on my finger.
Since his skin itches and he scratches it daily, does this increase the chance of infection?
9.
We are all undergoing cryotherapy and have covered the wart areas with band-aids.
Does wearing shoes reduce the chance of mutual infection?
10.
If the viral wart comes into contact with the body, will the body also become infected? I wear gloves when bathing to avoid touching any part of my body with my wart-infected fingers.
Thank you for your help, doctor.
Wenwen, 40~49 year old female. Ask Date: 2019/07/04
Dr. Li Yufen reply Dermatology
Hello: For a detailed introduction to viral warts, you can refer to the articles on the Dermatology Expert Health Network at http://www.drskincare.com.tw/Qa/Detail.aspx?ID=52 and Care Online at https://www.careonline.com.tw/2017/08/warts.html?m=1.
It is recommended to seek early and complete treatment to reduce the chances of transmission among family members.
Thank you!
Reply Date: 2019/07/04
More Info
Warts, commonly caused by human papillomavirus (HPV), are benign growths that can appear on various parts of the body, including the feet (plantar warts) and hands (common warts). Understanding their transmission, treatment, and prevention is crucial, especially in a family setting where the risk of spreading the virus is heightened.
Transmission of Warts
1. Direct Contact: Warts are contagious and can be transmitted through direct skin-to-skin contact. This means that if your husband or son has warts, there is a possibility of transferring the virus to you, especially if you are in close contact, such as during bathing or sharing personal items like towels or shoes.
2. Indirect Contact: The virus can also survive on surfaces, particularly in warm, moist environments like showers or swimming pools. If you walk barefoot in such areas, you may be at risk of contracting the virus.
3. Injury to Skin: HPV can enter the body through cuts or abrasions in the skin. If you have any minor injuries or compromised skin integrity, your risk of developing warts increases.
Treatment Options
1. Liquid Nitrogen Therapy: This is a common treatment for warts, where liquid nitrogen is applied to freeze the wart, causing it to fall off.
2. Topical Treatments: Over-the-counter treatments containing salicylic acid can help remove warts by peeling away the infected skin.
3. Prescription Treatments: In some cases, a doctor may prescribe stronger topical treatments or recommend procedures like laser therapy or electrosurgery.
Prevention Tips
1. Good Hygiene: Regular hand washing is crucial, especially after touching warts or areas where warts are present. This can help reduce the risk of spreading the virus.
2. Avoid Sharing Personal Items: Do not share towels, shoes, or other personal items that may come into contact with warts.
3. Protective Footwear: Wearing flip-flops or water shoes in communal showers or pools can help prevent plantar warts.
4. Avoid Picking at Warts: Picking at warts can spread the virus to other parts of your body or to other people.
Addressing Your Concerns
1. Infection from Your Son: Given that you have developed small growths on your fingers after close contact with your son, it is possible that you contracted the virus from him. The incubation period for warts can vary, typically ranging from a few weeks to several months.
2. Why You Were Infected Despite Good Hygiene: Even with good hygiene practices, the virus can still be transmitted, especially if there are any small cuts or abrasions on your skin.
3. Different Types of Warts: The type of wart (common vs. plantar) is determined by the strain of HPV involved and the location of the infection. It is not uncommon for different strains to affect various body parts.
4. Risk of Developing Warts on Your Feet: If you share footwear or walk barefoot in areas where your son has been, there is a risk of developing plantar warts.
5. Survival of HPV Outside the Body: HPV can survive on surfaces for several hours to days, depending on the environment. Disinfecting surfaces with alcohol or bleach can help kill the virus.
6. Skin Conditions and Infection Risk: Individuals with eczema or other skin conditions may have a higher risk of infection due to compromised skin barriers.
7. Using Protective Measures: Wearing gloves while bathing or treating warts can help prevent the spread of the virus to other parts of your body.
8. Treatment Adherence: Continuing with liquid nitrogen therapy and covering warts with bandages can help prevent further spread and promote healing.
In summary, warts are contagious, and understanding their transmission can help you take preventive measures. If you have concerns about your growths, it is advisable to consult a healthcare professional for an accurate diagnosis and appropriate treatment.
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