the Risk of HPV Infection from Contact with Warts - Dermatology

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Contact transmission of viral warts?


Hello Doctor: Last month, I noticed a white spot on the sole of my left foot.
Last week, I saw a doctor who diagnosed it as a viral wart, and I am currently undergoing cryotherapy.
However, I recently recalled an incident that has made me quite anxious.
I previously had athlete's foot, and one night last month, my left foot was itchy because a mosquito had bitten near the white spot of the viral wart.
That day, I used my right big toe to rub the itchy area on my left foot.
I would like to ask the doctor, if my right big toe came into contact with the viral wart (the small white spot) that day, but not with much force and without causing any wounds, is it still possible for my right big toe, or even the area under the nail, to become infected with the wart virus? I am concerned because the incubation period can last several months, and I am feeling very anxious.
Thank you for answering my question.

Niming, 20~29 year old female. Ask Date: 2021/05/25

Dr. Wu Yuxin reply Dermatology


Currently, we can only closely monitor the situation, as the incubation period can last up to two months.

Reply Date: 2021/05/25

More Info


The concern regarding the transmission of Human Papillomavirus (HPV) through contact with warts, particularly in the context of your recent experience with a viral wart on your foot, is understandable. HPV is a common virus that can lead to various types of warts, including plantar warts (which occur on the soles of the feet) and genital warts. The transmission of HPV typically occurs through direct skin-to-skin contact, especially in moist environments, which is why it can be prevalent in communal areas like swimming pools or locker rooms.

In your case, you mentioned that you had a viral wart on your left foot and that you scratched an itchy area near the wart with your right big toe. You are concerned about the possibility of transferring the virus from the wart to your right toe, especially since HPV can have a long incubation period before symptoms appear.
To address your concern, the risk of transmitting HPV through indirect contact, such as touching a wart with another part of your body, is relatively low. HPV is primarily spread through direct contact with an infected area. In your situation, if your right toe merely brushed against the wart without causing any injury or breaking the skin, the likelihood of infection is minimal. The virus typically requires a more direct and sustained contact to establish an infection, especially if there are no open wounds or abrasions on the skin.

Moreover, the incubation period for HPV can vary widely, ranging from a few weeks to several months, which can make it challenging to determine the source of an infection if one were to develop. If you were to experience any unusual symptoms, such as new warts or changes in the skin, it would be advisable to consult a healthcare provider for further evaluation.

In terms of prevention and management, here are some recommendations:
1. Maintain Good Hygiene: Regularly wash your feet and keep them dry, especially if you have a history of fungal infections like athlete's foot. This can help reduce the risk of developing warts or other skin infections.

2. Avoid Sharing Personal Items: Do not share towels, socks, or shoes with others, as this can help prevent the spread of HPV and other infections.

3. Cover Warts: If you have visible warts, keep them covered with a bandage to minimize the risk of spreading the virus to other areas of your body or to others.

4. Monitor Changes: Keep an eye on any changes to your skin, especially in areas where you may have had contact with the wart. If you notice new growths or changes, seek medical advice.

5. Consider Vaccination: The HPV vaccine is effective in preventing certain strains of HPV that can lead to warts and cancers. Discuss with your healthcare provider whether vaccination is appropriate for you.

In conclusion, while the risk of transmitting HPV through the scenario you described is low, it is always wise to be vigilant about skin health and hygiene. If you have ongoing concerns or notice any changes, do not hesitate to reach out to a healthcare professional for personalized advice and management.

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