Viral Warts Treatment: Is My Skin Healing Properly?

Treatment issues for viral warts?

Hello, about a year and a half ago, I was diagnosed with a viral wart on my palm, and I underwent cryotherapy for over a year.
Later, after moving, I switched to a different dermatologist who prescribed Duoflim wart treatment solution for me to apply at home daily.
It has been effective, and the black spots have disappeared.
However, the original affected area is still red, lacks normal skin texture, and feels like a hard lump.
During my follow-up visit, the doctor believed it was healed but advised me to wait for it to fully recover and to monitor it myself.
Is it really healed? Recently, the affected area has started to itch again.
Here is a photo of the affected area: https://i.imgur.com/SqC8kw5.jpg

Asy, 20~29 year old female. Ask Date: 2022/01/08

Dr. Wu Yuxin reply Dermatology

Observation is still necessary; after the treatment of viral warts, it is important to monitor for at least 6 months before confirming complete healing.

Reply Date: 2022/01/08

More Info

When dealing with viral warts, particularly after undergoing treatments like cryotherapy and topical applications such as Duoflim, it's essential to understand the healing process and what to expect. Based on your description, it seems that you have been proactive in seeking treatment for your viral warts, which is commendable.
Viral warts, caused by the human papillomavirus (HPV), can be persistent and may require multiple treatment modalities for effective resolution. Cryotherapy is a common method that freezes the wart, causing it to eventually fall off. The use of topical treatments like Duoflim, which contains active ingredients that help in wart removal, is also effective.
From your description, it appears that the black spots have disappeared, which is a positive sign. However, the presence of redness, a lack of normal skin texture, and hard lumps can indicate that the skin is still in the healing phase. It is not uncommon for the skin to take time to return to its normal appearance after wart treatment. The redness and texture changes may be due to inflammation or irritation from the treatment itself.
The fact that you are experiencing itching in the area is something to monitor. Itching can be a sign of several things: it could be a normal part of the healing process, a reaction to the treatment, or even a sign of a secondary infection. If the itching persists or worsens, or if you notice any discharge, increased redness, or swelling, it would be prudent to consult your dermatologist for further evaluation.
Your doctor’s advice to wait and observe the area is generally sound, especially if they believe the wart has been effectively treated. However, it is crucial to maintain open communication with your healthcare provider. If you feel uncertain about the healing process or if new symptoms arise, do not hesitate to reach out for a follow-up appointment.
In terms of care for the affected area, keeping it clean and moisturized can help support the healing process. Avoid picking at the area, as this can lead to further irritation or infection. If you are using any topical treatments, ensure they are applied as directed and monitor for any adverse reactions.

In summary, while it seems you are on the right track with your treatment and the signs of healing are present, it is essential to remain vigilant. If any concerning symptoms arise, or if you have doubts about the healing process, consulting your dermatologist is the best course of action. They can provide personalized advice based on a thorough examination of your skin.

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