Effective Treatments and Care for Warts: A Comprehensive Guide

Wart

Hello, I was infected with warts by my father five years ago, and I have developed a long, flesh-like growth on my neck and underarm, approximately 2 centimeters in size.
I have been using salicylic acid for treatment, but they recur every year in different locations.
I have also received treatment, but each time they tend to reappear during the summer, and the number of growths has increased.
Currently, I have growths on the back of my hands, neck, chest, and groin, but they are still too small for me to apply salicylic acid.
I have a compulsion about my skin, which has made me very anxious and frustrated.
I would like to know if there are more effective treatment options and how I can take care of my skin.
My father believes it will resolve on its own and has delayed seeking treatment, even though he has developed many noticeable warts on his neck and cheeks.
However, my siblings and mother have never had warts.
Since I am troubled by these growths, should I wash my clothes separately from my family and father? I hope you can help clarify my doubts.
Thank you.

Mr. Hong, 10~19 year old female. Ask Date: 2005/08/03

Dr. Huang Ruiyun reply Dermatology

Based on your description, your father may not have warts at all, but rather skin tags that have developed due to his aging physiology.
These are not contagious and do not require treatment; however, an online diagnosis is not possible, and he should see a dermatologist in person for a proper evaluation.
As for yourself, you also need to consult a healthcare professional in person to determine the next steps for management.

Reply Date: 2005/08/03

More Info

Warts, also known as verrucae, are benign epithelial tumors caused by the human papillomavirus (HPV). They can appear on various parts of the body, including the neck, armpits, hands, and other areas. Your experience with recurrent warts, particularly after using salicylic acid, is not uncommon. While salicylic acid is a common over-the-counter treatment that works by exfoliating the wart and surrounding skin, it may not always be effective for everyone, especially if the warts are large or deeply rooted.

Effective Treatments for Warts
1. Cryotherapy: This method involves freezing the wart with liquid nitrogen. It is often performed in a healthcare provider's office. Cryotherapy can be effective for stubborn warts and may require multiple sessions.

2. Laser Therapy: Laser treatments can target and destroy wart tissue. This method is particularly useful for warts that are resistant to other treatments.

3. Electrosurgery: This technique uses electrical currents to burn off the wart. It is typically used for larger warts or those that have not responded to other treatments.

4. Cantharidin: This is a blistering agent that can be applied by a healthcare provider. It causes a blister to form under the wart, lifting it off the skin.

5. Immunotherapy: This treatment aims to stimulate the body's immune system to fight the virus. It may involve topical treatments like imiquimod or injections of antigens.

6. Prescription Medications: If over-the-counter treatments are ineffective, a healthcare provider may prescribe stronger topical treatments or other medications.

Home Care and Prevention
- Avoid Picking: Refrain from picking at warts, as this can spread the virus to other areas of your skin or to other people.

- Maintain Hygiene: Keep the affected areas clean and dry. Avoid sharing towels or personal items with others, especially your father, who also has warts.

- Protective Measures: If you have warts on your hands, consider wearing gloves when doing household chores to prevent spreading the virus.

- Regular Monitoring: Keep an eye on the warts. If they change in appearance or if new warts develop, consult a healthcare provider.

Family Considerations
It’s understandable that your father may believe the warts will resolve on their own; however, warts can persist and even spread if left untreated. Since you have experienced recurrent warts, it may be beneficial for him to seek medical advice as well.
As for your concern about laundry, while HPV is not highly contagious through clothing, it is advisable to wash items that may have come into contact with the warts separately to minimize any potential risk of transmission.

Conclusion
Given your ongoing issues with warts and the psychological impact they have on you, it is crucial to consult a dermatologist or healthcare provider who can assess your condition and recommend a tailored treatment plan. They can also provide guidance on the most effective methods for wart removal and management. Remember, while warts can be persistent, there are various treatment options available that can help you regain confidence in your skin.

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