Dealing with Plantar Warts: Treatment and Infection Concerns - Dermatology

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Warts that grow on the soles of the feet..?


I have a wart on the sole of my foot.
The doctor gave me a bottle of medication that looks like nail polish, which turns white and hard after application.
I accidentally used scissors to cut it, and now it looks red and feels like an open wound.
Can I continue using that medication? Is there a risk of infection?

Tòng, 10~19 year old female. Ask Date: 2006/12/25

Dr. Hong Zhengsheng reply Dermatology


Hello: If you have any questions regarding medication, you can consult your attending physician in person or ask the pharmacist when picking up your prescription.
This will help resolve any confusion you may have immediately.
Additionally, there is a "Drug Information Network" on the Department of Health's website that provides the public with relevant medication information, which you can utilize.
Thank you for using "Taiwan e-Hospital"; "Taiwan e-Hospital" cares about your health.

Reply Date: 2006/12/25

More Info


Plantar warts, also known as verrucae plantaris, are benign growths caused by the human papillomavirus (HPV). They typically appear on the soles of the feet and can be painful, especially when pressure is applied while walking. The virus enters the skin through small cuts or abrasions, making individuals susceptible to infection in communal areas such as swimming pools, locker rooms, and showers.

When it comes to treatment, topical medications like salicylic acid or other keratolytic agents are commonly used. These treatments work by gradually peeling away the wart tissue. The product you mentioned, which resembles nail polish, is likely a topical treatment that contains salicylic acid or a similar compound. It’s important to follow the instructions provided by your healthcare provider when using such treatments.

In your case, if you accidentally cut the wart with scissors and it appears red and irritated, it’s crucial to take some precautions. Here are some key points to consider:
1. Infection Risk: Cutting the wart can create an open wound, increasing the risk of bacterial infection. Signs of infection include increased redness, swelling, warmth, pus, or worsening pain. If you notice any of these symptoms, it’s important to seek medical attention.

2. Continuing Treatment: If the area is not showing signs of infection and is merely red, you may continue using the topical treatment as directed. However, avoid applying the medication directly to any open wounds. Instead, you can apply it around the wart, ensuring that it does not come into contact with the cut.

3. Wound Care: Keep the area clean and dry. You can wash it gently with soap and water, then pat it dry. If the area is painful or at risk of further injury, consider covering it with a sterile bandage to protect it while it heals.

4. Consult Your Doctor: Given your situation, it’s advisable to consult your healthcare provider. They can assess the wound and determine if you should continue with the topical treatment or if an alternative approach is necessary. They may also prescribe antibiotics if there are signs of infection.

5. Preventing Future Warts: To prevent future plantar warts, avoid walking barefoot in communal areas, keep your feet dry, and do not share personal items like towels or shoes. If you have a history of warts, consider discussing preventive measures with your healthcare provider.

In summary, while you can continue using the topical treatment if there are no signs of infection, it’s essential to monitor the area closely. If you notice any concerning symptoms, seek medical advice promptly. Maintaining good foot hygiene and taking preventive measures can help reduce the risk of developing more plantar warts in the future.

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