Scalp Warts: Treatment, Recovery, and Precautions

Viral warts on the scalp?

Hello, Doctor.
Last Saturday, I noticed a very small growth on my scalp.
This Tuesday, a physician diagnosed it as a viral wart and treated it with cryotherapy for about ten seconds.
I was prescribed Fluocinonide ointment and scheduled a follow-up appointment for next week.
I have a few questions I would like to ask, thank you very much, Doctor.
1.
My wart has a visible diameter and height of less than 0.2 cm.
I understand that each person's body responds differently, but under the condition of consistently applying the ointment and attending weekly follow-ups, how long does it typically take for the wart to fall off and heal?
2.
Since men have regular haircut needs, and warts are contagious, I would like to know at "what stage" I can safely go to a barber without the risk of transmitting it to others (worried about transmission through combs or razors)?
3.
Are there any precautions I can take in my daily life to help the wart heal more quickly?
4.
Should I wash pillowcases and clothing that may come into contact with my scalp separately?

CHRIS, 30~39 year old female. Ask Date: 2022/09/08

Dr. Wu Yuxin reply Dermatology

For the first two questions, please consult your attending physician, as I have not seen your lesions and cannot make any assertions.
For the third question, as long as you cooperate well with your doctor in treatment, you will recover soon.
For the fourth question, it is fine to wash together; the vast majority of viral infections are caused by direct contact, and moreover, after washing and drying, the virus cannot survive.

Reply Date: 2022/09/08

More Info

Scalp warts, also known as viral warts, are benign growths caused by the human papillomavirus (HPV). They can appear anywhere on the body, including the scalp, and are typically characterized by a rough surface. Understanding the treatment, recovery, and precautions associated with scalp warts is essential for effective management and prevention of transmission.

1. Treatment Duration and Healing: The healing time for warts can vary significantly among individuals due to factors such as immune response, the size of the wart, and the treatment method used. In your case, since the wart is small (less than 0.2 cm) and has been treated with cryotherapy (freezing), many patients may expect to see improvement within 2 to 6 weeks. The wart may initially darken and then gradually fall off. Consistent application of topical treatments, like the one prescribed (likely a salicylic acid-based ointment), can enhance healing. It’s crucial to follow your physician's instructions and attend follow-up appointments to monitor progress.

2. Haircut Precautions: Since warts are contagious, it’s wise to be cautious about haircuts. You should avoid haircuts until the wart has completely resolved and the skin has healed. This typically means waiting until the wart has fallen off and the area is no longer red or irritated. If you are concerned about transmission, you might consider informing your barber or stylist about your condition, so they can take extra precautions, such as using sanitized tools.

3. Daily Care and Precautions: To promote healing and prevent the spread of the wart, consider the following precautions:
- Keep the area clean and dry. Avoid picking at the wart, as this can lead to further irritation or spread the virus.

- Avoid sharing personal items such as hats, towels, or hairbrushes, as HPV can spread through direct contact.

- Maintain a healthy immune system through a balanced diet, regular exercise, and adequate sleep, as a strong immune response can help your body fight off the virus more effectively.

4. Laundry and Hygiene: It is advisable to wash items that come into contact with the wart, such as pillowcases and hats, separately from other laundry. Use hot water and a suitable detergent to help eliminate any viral particles. This precaution helps reduce the risk of spreading the virus to others or to other areas of your body.

In summary, while scalp warts are generally harmless, they can be contagious and may require careful management. Following your physician’s advice, maintaining good hygiene, and being mindful of your surroundings will aid in your recovery and help prevent the spread of the virus. If you have any concerns or notice any changes in the wart, do not hesitate to reach out to your healthcare provider for further guidance.

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