Warts: Infection Risks and Concerns Explained - Dermatology

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What is the issue with warts?


I apologize for the length of my message, but I have a few questions regarding warts.
About one to two years ago, I had a wart on the sole of my foot, but I believe it has resolved since it no longer hurts and I have received treatment.
However, I would like to ask:
1.
If I come into direct or indirect contact with a wart (for example, by stepping on a surface where my wart was) and then touch other parts of my body, can I get infected? I have heard that the most common transmission is to the hands.
2.
If I accidentally touch a surface with my hands and then eat something with those hands, or if I have a wart on my hand and then eat, could that lead to an infection in my mouth, throat, or esophagus? I have heard that warts on the genitals are called genital warts, but several doctors have told me that the types on the feet or hands are different and do not cause infection.
3.
If an infection does occur, would it only be "warts on the genitals" and not classified as "genital warts"? If there is a wound on the genitals, would that increase the risk of infection? Can warts on the hands or feet infect the genitals? What about wounds on other parts of the body? Would that be considered genital warts?
4.
If there is a risk of infection in the mouth, throat, or esophagus, would there be any symptoms? Would that be classified as genital warts? I have only had warts on the sole of my foot and have never had them on my hands, but I am a bit concerned.
Thank you for your help!

Bing Bing, 10~19 year old female. Ask Date: 2010/07/06

Dr. Huang Ruiyun reply Dermatology


Hello: You have stigmatized warts, but they are actually quite common in outpatient settings, or rather, a frequent human infection.
Many people have had warts for a long time, and often only one or two, indicating that their contagiousness is not very high.
There are over a hundred types of wart DNA, each with its preferred growth location, and only certain types are referred to as "cauliflower warts." If someone has had a wart on the sole of their foot, it is unreasonable to be paranoid about transmission or to confuse it with cauliflower warts.
Wishing you peace of mind.

Reply Date: 2010/07/06

More Info


Warts are benign growths on the skin caused by human papillomavirus (HPV). They can appear on various parts of the body, including the hands, feet, and genital areas. Understanding the risks of infection and transmission is crucial, especially if you have a history of warts. Let’s address your concerns one by one.

1. Direct or Indirect Contact with Warts: If you have previously had warts on your feet, there is a possibility of re-infection or transmission to other parts of your body. HPV can survive on surfaces, so if you walk barefoot on a surface where warts were present, and then touch another part of your body, there is a risk of transferring the virus. However, the likelihood of this happening is relatively low, especially if your skin is intact and healthy. Warts are more commonly spread through direct skin-to-skin contact rather than indirect contact.

2. Eating After Contact: If you touch a surface that may have been contaminated with HPV and then eat without washing your hands, there is a theoretical risk of transferring the virus to your mouth. However, HPV primarily infects epithelial cells, and the oral cavity is not a common site for HPV infections. The types of HPV that cause common warts on the hands and feet are different from those that cause genital warts (also known as condylomata acuminata or "cauliflower-like" warts). Therefore, while it is good practice to maintain hygiene, the risk of developing oral or throat warts from touching your feet or hands is minimal.

3. Genital Warts vs. Other Warts: The warts that appear on the genital area are caused by different strains of HPV than those that typically cause warts on the hands or feet. If you were to develop warts in the genital area, they would be classified as genital warts, and if they have a cauliflower-like appearance, they are often referred to as "condyloma." It is important to note that having warts on your hands or feet does not mean you will automatically develop genital warts. The strains of HPV that cause these different types of warts are typically distinct.

4. Symptoms of Oral or Throat Infections: If HPV were to infect the oral cavity or throat, it could potentially lead to lesions, but this is rare. Most HPV infections are asymptomatic and do not cause noticeable symptoms. If you were to develop lesions in these areas, they would not be classified as "condyloma" but rather as oral warts, which are less common. If you have concerns about any lesions or symptoms in your mouth or throat, it is advisable to consult a healthcare professional for evaluation.

In summary, while there is a theoretical risk of transferring HPV from warts on your feet or hands to other parts of your body, the actual risk is low, especially with good hygiene practices. If you have a history of warts and are concerned about potential transmission or re-infection, it is wise to monitor your skin for any new growths and consult a healthcare provider if you notice any changes. Regular check-ups and maintaining good hygiene can help manage and reduce the risk of HPV-related issues.

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