Viral Warts: Causes, Symptoms, and Transmission Risks - Dermatology

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Viral wart issues?


Hello doctor, I have two small white spots on the pad of my thumb.
Could this be a viral wart? Can warts on the hand infect the genital area and turn into genital warts? Thank you, doctor.

Lin, 10~19 year old female. Ask Date: 2022/04/17

Dr. Wu Yuxin reply Dermatology


Without directly observing the lesion, it cannot be confirmed.
It can also infect the genital area.

Reply Date: 2022/04/17

More Info


Viral warts, also known as verrucae, are benign growths on the skin caused by human papillomavirus (HPV) infection. They can appear anywhere on the body, but are most commonly found on the hands and feet. The small white bumps you described on your thumb could indeed be viral warts, especially if they have a rough texture and are slightly elevated.

Causes of Viral Warts
Viral warts are primarily caused by the human papillomavirus (HPV), which has many different strains. The strains that typically cause common warts (verrucae vulgaris) are different from those that cause genital warts (such as HPV types 6 and 11). Warts are contagious and can spread through direct contact with the virus, which can be found on the skin of an infected person or on surfaces that have been contaminated, such as towels, swimming pools, or gym equipment.


Symptoms of Viral Warts
Viral warts usually appear as small, rough bumps on the skin. They may be skin-colored, white, or slightly darker than the surrounding skin. They can vary in size and may have a characteristic "cauliflower" appearance. While they are generally painless, they can sometimes cause discomfort, especially if they are located on weight-bearing areas like the soles of the feet (plantar warts).


Transmission Risks
Regarding your question about the transmission of warts from the hands to the genital area, it is important to note that while HPV can be transmitted through direct skin-to-skin contact, the strains that cause common warts on the hands are typically not the same as those that cause genital warts. However, there is a risk of transferring the virus if you touch a wart and then touch another part of your body, including the genital area. This is why it is crucial to avoid picking at warts and to practice good hygiene.


Treatment Options
Most viral warts do not require treatment and may resolve on their own over time, although this can take months or even years. If the warts are bothersome or persistent, several treatment options are available:
1. Topical Treatments: Over-the-counter treatments containing salicylic acid can help dissolve the wart gradually. These treatments need to be applied consistently over several weeks.

2. Cryotherapy: This involves freezing the wart with liquid nitrogen, which can cause the wart to fall off after a few treatments.

3. Laser Therapy: In some cases, laser treatment may be used to remove warts, especially if they are resistant to other treatments.

4. Surgical Removal: For larger or stubborn warts, a healthcare provider may recommend surgical excision.


Conclusion
In summary, the small white bumps on your thumb could be viral warts, and while they are contagious, the strains that cause common warts are generally different from those that cause genital warts. It is advisable to avoid touching the warts and to maintain good hygiene practices to minimize the risk of spreading the virus. If you are concerned about the warts or if they change in appearance, it is best to consult a healthcare professional for an accurate diagnosis and appropriate treatment options.

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