Effective Treatments for Warts: Overcoming Persistent Skin Issues - Dermatology

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Inquiry about viral warts?


Since mid-July, I discovered about four warts on the soles of my feet, which were small and without black dots at that time.
I started receiving cryotherapy and only wore flip-flops during the treatment.
Throughout this period, new warts kept appearing.
In August, I noticed that I had developed about 7 or 8 warts on my hands.
From July to November, I had approximately 20 to 30 warts on my feet.
Every time I treated one, another would emerge, making the treatment very exhausting.
The doctor initially said I was in the final stages of treatment, but a few days later, new warts appeared in other areas.
I am really worried about transmitting them to my girlfriend.
Can warts really be completely cured? Does combining cryotherapy with wart treatment solutions increase the risk of transmission? I am considering surgery or electrosurgery, but I am afraid that if I remove one, another will just grow elsewhere.
Could you please provide some advice? This treatment process has been very painful.

Qiu Xiansheng, 20~29 year old female. Ask Date: 2020/11/16

Dr. Li Yufen reply Dermatology


Hello: Viral warts can sometimes be quite persistent.
For a detailed introduction to the treatment and prevention of viral warts, you can refer to the following links: https://www.google.com.tw/amp/s/www.medpartner.club/cutaneous-wart-treatment-prevention/ and https://www.careonline.com.tw/2017/08/warts.html?m=1.
I recommend that you continue to communicate and discuss with your outpatient physician.
Thank you!

Reply Date: 2020/11/16

More Info


Warts are a common skin condition caused by the human papillomavirus (HPV). They can appear on various parts of the body, including the feet and hands, and are often characterized by their rough texture and raised appearance. Your experience with persistent warts, despite undergoing cryotherapy (freezing treatment), is not uncommon. Many individuals face similar challenges when dealing with warts, as they can be stubborn and may recur even after treatment.

Cryotherapy is a widely used method for wart removal, where liquid nitrogen is applied to freeze the wart, causing it to eventually fall off. While this method can be effective, it may not always eliminate the virus responsible for the wart, leading to the development of new warts. The recurrence of warts after treatment can be frustrating, especially when you are concerned about transmitting the virus to others, such as your girlfriend.

In addition to cryotherapy, there are several other treatment options available for warts. These include:
1. Topical Treatments: Over-the-counter treatments containing salicylic acid can help dissolve the wart over time. These treatments work by softening the skin and gradually removing layers of the wart. Consistency is key, as it may take several weeks to see results.

2. Electrosurgery: This method involves using electrical currents to burn off the wart. It can be effective but may require local anesthesia and can leave scars.

3. Laser Therapy: Laser treatment targets the wart with focused light, destroying the tissue. This method is often used for warts that are resistant to other treatments.

4. Immunotherapy: This approach involves stimulating the immune system to fight the virus. It can include topical applications of immune response modifiers or injections that help the body recognize and attack the wart.

5. Surgical Removal: In some cases, warts can be surgically excised. This method is typically reserved for larger or more persistent warts.

Regarding your concern about the potential for warts to spread during treatment, it's essential to practice good hygiene. Warts are contagious, and the virus can spread through direct contact or by sharing personal items like towels or shoes. To minimize the risk of transmission, avoid picking at warts, keep them covered, and refrain from sharing personal items.

It's also important to note that while treatments can be effective, they may not guarantee that warts won't return. The HPV virus can remain dormant in the skin, and new warts can develop even after successful treatment. Therefore, maintaining a healthy immune system through a balanced diet, regular exercise, and adequate sleep can be beneficial in preventing recurrences.

If you are feeling overwhelmed by the situation, consider discussing your concerns with a dermatologist. They can provide personalized recommendations based on your specific case and may suggest a combination of treatments to improve your chances of success. Additionally, if you are considering more invasive procedures like electrosurgery or laser therapy, a dermatologist can help you weigh the risks and benefits.

In conclusion, while warts can be persistent and frustrating, there are multiple treatment options available. With the right approach and guidance from a healthcare professional, it is possible to manage and potentially eliminate warts effectively. Remember to practice good hygiene and take care of your overall health to support your immune system in combating the virus.

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