Neck Warts: When to Seek Medical Attention

A wart has developed on the neck?

I have had a wart on my neck for a year.
Recently, after applying wart treatment cream, the surface has developed some scabbing.
I accidentally scratched it, causing a bit of bleeding.
After continuing to apply the cream, it has become red and itchy.
It has been 2 to 3 weeks, and it still hasn't fallen off.
Last night, it even hurt a little while I was sleeping.
Is this situation normal? How long should I wait before seeking medical attention?

vivien, 50~59 year old female. Ask Date: 2020/09/15

Dr. Wu Yuxin reply Dermatology

No lesions were observed, and it is not possible to make a definitive diagnosis.
If you are very concerned, please seek medical attention promptly.

Reply Date: 2020/09/15

More Info

When it comes to warts, particularly those that appear on the neck, it is essential to understand their nature and when to seek medical attention. Warts are benign growths caused by the human papillomavirus (HPV) and can appear anywhere on the body, including the neck. They are typically harmless, but certain changes in their appearance or symptoms can indicate the need for medical evaluation.

In your case, you mentioned that the wart on your neck has been present for a year and that you recently applied a topical wart treatment. The fact that the wart has developed a scab and is now red, itchy, and painful after being accidentally scratched raises some concerns. Here are some points to consider regarding your situation:
1. Normal Healing Process: It is not uncommon for warts to become irritated, especially after treatment or if they are scratched. The redness and itching could be a sign of irritation or a mild inflammatory response. However, if the wart has not improved after a few weeks of treatment, it may require further evaluation.

2. Signs of Infection: The presence of pain, bleeding, and prolonged redness can indicate an infection. If the area around the wart becomes increasingly swollen, warm, or produces pus, it is crucial to seek medical attention promptly. An infection may require antibiotic treatment.

3. Duration of Symptoms: If the wart has not resolved or significantly improved after two to three weeks of treatment, it is advisable to consult a healthcare professional. Warts can sometimes be stubborn, and if they do not respond to over-the-counter treatments, a healthcare provider may recommend alternative treatments, such as cryotherapy, laser therapy, or prescription medications.

4. Changes in Appearance: If you notice any changes in the wart's appearance, such as rapid growth, changes in color, or irregular borders, it is essential to seek medical advice. While most warts are benign, atypical changes can sometimes indicate a more serious condition, and it is better to err on the side of caution.

5. Underlying Conditions: If you have a weakened immune system or other underlying health conditions, it is particularly important to have any persistent or changing skin lesions evaluated by a healthcare professional.

In summary, while it is not uncommon for warts to cause some irritation and discomfort during treatment, the symptoms you are experiencing—particularly the pain, bleeding, and prolonged duration of the wart—warrant a visit to a healthcare provider. They can perform a thorough examination, determine the best course of action, and provide you with peace of mind regarding your skin health. If you have any concerns about the wart or your overall health, do not hesitate to seek medical attention.

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