Viral Warts: Transmission Risks and Treatment Duration - Dermatology

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Viral warts issue


Hello Dr.
Lee, I have a viral wart on my right hand, and I am very worried about it spreading to other areas, especially since I need to touch my scalp and body while showering.
I would like to know how high the risk of transmission is.
I am currently undergoing cryotherapy; how long does it usually take to heal? I am constantly checking my body for more warts and feeling quite anxious.
I am particularly afraid of it spreading to my face.
Thank you for your response!

Lin, 10~19 year old female. Ask Date: 2022/04/26

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to viral warts, you can refer to the article on Care Online at https://www.careonline.com.tw/2017/08/warts.html.
Since human papillomavirus (HPV) is contagious, it is recommended to treat the lesions completely as early as possible.
You can find a dermatologist at http://www.derma.org.tw/user_finddoctor.php.
If the skin barrier is intact, the likelihood of transmission is relatively lower.
The number of cryotherapy sessions required varies from person to person and depends on the lesion's response to treatment.
Thank you!

Reply Date: 2022/04/26

More Info


Viral warts, also known as verrucae, are benign growths on the skin caused by human papillomavirus (HPV) infection. They can appear on various parts of the body, including the hands, feet, and face. Understanding the transmission risks and treatment duration is crucial for managing anxiety and preventing further spread.

Transmission Risks:
Warts are contagious and can spread through direct contact with the wart or indirectly through surfaces that have come into contact with the virus. The HPV that causes warts thrives in warm, moist environments, making communal areas like swimming pools, locker rooms, and showers potential hotspots for transmission. While the risk of spreading warts to other areas of your body (autoinoculation) is present, it is generally lower than the risk of spreading them to others. To minimize the risk of transmission, it is advisable to avoid touching the wart and to keep it covered, especially in communal settings.
When washing, be cautious not to scrub the wart area excessively, as this can lead to the virus spreading to other parts of your skin. It’s also important to avoid sharing personal items such as towels, razors, or shoes, as these can harbor the virus.

Treatment Duration:
You mentioned that you are currently undergoing cryotherapy, which is a common and effective treatment for warts. Cryotherapy involves freezing the wart with liquid nitrogen, causing the wart tissue to die and eventually fall off. The duration of treatment can vary based on the size and location of the wart, as well as individual response to treatment. Typically, multiple sessions may be required, spaced a few weeks apart, to achieve the best results. Many patients notice improvement after 2 to 4 sessions, but complete resolution can take several weeks to months.

It’s important to follow your healthcare provider’s recommendations regarding the frequency of treatments. After each session, you may experience some discomfort, swelling, or blistering, which is normal. However, if you notice excessive pain, bleeding, or signs of infection, you should contact your healthcare provider.

Managing Anxiety:
Feeling anxious about the possibility of spreading warts is common. To alleviate your concerns, consider the following strategies:
1. Educate Yourself: Understanding how warts spread and the effectiveness of treatments can help reduce anxiety. Knowing that warts are generally harmless and often resolve on their own can also be reassuring.

2. Practice Good Hygiene: Regular handwashing and keeping the wart covered can help you feel more in control and reduce the risk of transmission.

3. Communicate with Your Doctor: If you have ongoing concerns or if the wart does not respond to treatment, discuss these with your healthcare provider. They may suggest alternative treatments, such as topical medications or laser therapy, if necessary.

In conclusion, while the risk of transmitting viral warts exists, practicing good hygiene and adhering to treatment protocols can significantly reduce this risk. Cryotherapy is a common and effective treatment, but patience is key, as complete resolution may take time. If you continue to feel anxious, don’t hesitate to reach out to your healthcare provider for support and guidance.

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