Cryotherapy
I originally had small white spots on the sole of my foot, and after seeing a dermatologist, I was diagnosed with a viral wart.
I have undergone cryotherapy for three weeks, but the lesions have not fallen off.
I applied a wart removal solution, and the lesions have become yellowish and hard, resembling dead skin, but they have not sloughed off.
Am I not applying enough of the solution? Should I go back to the doctor for further treatment, or should I wait for the lesions to fall off on their own before seeing the doctor again?
Niming, 10~19 year old female. Ask Date: 2021/02/08
Dr. Li Yufen reply Dermatology
Hello: If the viral wart lesions have not yet fallen off, it is still possible to return for a follow-up visit and use a surgical blade for debridement.
Depending on the situation, cryotherapy may be recommended afterward.
If the skin symptoms do not improve or worsen, it is advisable to consult a nearby dermatologist for diagnosis and treatment.
Thank you!
Reply Date: 2021/02/08
More Info
Cryotherapy, or cryosurgery, is a common treatment for viral warts, which are caused by the human papillomavirus (HPV). This method involves freezing the wart with liquid nitrogen, leading to the destruction of the wart tissue. While many patients experience successful outcomes with cryotherapy, it is not uncommon for some warts to require multiple treatments or to respond slowly to the initial treatment.
In your case, it seems that you have undergone cryotherapy for three weeks, but the wart has not yet fallen off. Instead, you are observing a yellowish, hardened area that resembles dead skin. This can be a normal response to cryotherapy, as the freezing process can cause the wart tissue to become necrotic (dead) before it eventually sloughs off. However, if the wart does not show signs of improvement or if it appears to be worsening, it may be time to consider further treatment options.
Here are some points to consider regarding your situation:
1. Timeframe for Healing: After cryotherapy, it can take several weeks for the wart to fall off completely. If the area is hard and yellow, it may indicate that the treatment is working, but it can also mean that the wart is still present beneath the surface. It's essential to give it some time, but if you notice no change after a few more weeks, further evaluation may be necessary.
2. Signs of Infection: If you notice increased redness, swelling, pain, or discharge from the treated area, these could be signs of infection. In such cases, you should seek medical attention promptly.
3. Additional Treatments: If the wart does not respond to cryotherapy, there are other treatment options available. These include topical treatments (like salicylic acid), laser therapy, or even surgical removal in more persistent cases. Your dermatologist can help determine the best course of action based on your specific situation.
4. Self-Care: While waiting for the wart to fall off, it is essential to keep the area clean and avoid picking at it, as this can lead to further irritation or infection. If you are using a topical treatment, ensure you are applying it as directed.
5. Follow-Up Appointment: If you are uncertain about the next steps or if the wart does not improve, it is advisable to schedule a follow-up appointment with your dermatologist. They can assess the area, determine if further treatment is necessary, and provide guidance on the best way to proceed.
In summary, while it is normal for some warts to take time to resolve after cryotherapy, you should monitor the area for any signs of complications. If there is no improvement in the coming weeks or if you have concerns about the appearance or symptoms of the wart, do not hesitate to consult your dermatologist for further evaluation and treatment options.
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