Warts: Causes, Treatment, and Prevention Tips - Dermatology

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The issue of warts?


Hello doctor, I have developed a wart on my right thumb.
It doesn't look as uneven as the warts in the photos I've seen, and there are no black dots.
I'm not sure if it's serious.
I previously used specialized adhesive pads for warts and corns twice, but it still recurred.
Today, I visited a doctor who told me that warts can be contagious, with an incubation period of one to two years.
I haven't been careful about avoiding contact with the wart, nor have I been diligent in cleaning the items I use.
I'm now very worried that in a year or even a few months, I might develop warts all over my body, such as on my scalp, face, or even in my mouth.
What should I do or what medications should I take to prevent this?

Fanrao de ren, 20~29 year old female. Ask Date: 2011/05/11

Dr. Huang Ruiyun reply Dermatology


Hello: To put it bluntly, there is a saying that goes "the man of Qi worries about the sky." The contagiousness of common warts is very low; they cannot be transmitted just by touch.
When doctors tell you that the incubation period is long, it means not to dwell on who transmitted it to you (because many patients tend to blame others, which is actually untraceable).
Your imagination has taken this too far; that's not the case.
Wishing you to stop overthinking.

Reply Date: 2011/05/11

More Info


Warts are benign growths on the skin caused by the human papillomavirus (HPV). They can appear anywhere on the body, but are most commonly found on the hands, feet, and face. Understanding the causes, treatment options, and prevention tips for warts can help alleviate your concerns and manage the condition effectively.


Causes of Warts
Warts are primarily caused by the HPV virus, which infects the top layer of skin. The virus enters the body through small cuts or breaks in the skin. There are over 100 different types of HPV, and the specific type that causes warts can vary depending on the location and type of wart. Warts are contagious and can spread through direct contact with the wart or indirectly through contaminated surfaces, such as towels or floors.


Treatment Options
1. Over-the-Counter Treatments: There are various topical treatments available that contain salicylic acid, which helps to gradually peel away the wart. These treatments may take several weeks to show results and require consistent application.

2. Cryotherapy: This is a common treatment performed by healthcare professionals, where the wart is frozen off using liquid nitrogen. This method can be effective but may require multiple sessions.

3. Electrosurgery: This technique involves burning the wart using electrical currents. It is usually performed in a clinical setting and may require local anesthesia.

4. Laser Treatment: For stubborn warts that do not respond to other treatments, laser therapy may be an option. This method uses focused light to destroy the wart tissue.

5. Immunotherapy: This approach involves stimulating the immune system to fight off the virus. It may include topical treatments that contain immune-boosting agents.

6. Surgical Removal: In some cases, warts may need to be surgically excised, especially if they are large or painful.


Prevention Tips
1. Avoid Direct Contact: Try to avoid touching warts, whether they are your own or someone else's. If you do touch a wart, wash your hands thoroughly afterward.

2. Keep Skin Healthy: Maintain good hygiene and keep your skin intact. Avoid walking barefoot in public areas, such as swimming pools or locker rooms, where the virus can thrive.

3. Do Not Share Personal Items: Avoid sharing towels, razors, or other personal items that may come into contact with the skin.

4. Boost Your Immune System: A healthy immune system can help your body fight off infections, including HPV. Eating a balanced diet, exercising regularly, and getting adequate sleep can contribute to overall health.

5. Consider HPV Vaccination: The HPV vaccine can protect against certain strains of the virus that cause warts and other HPV-related diseases. Consult with your healthcare provider about vaccination options.


Addressing Your Concerns
It is understandable to feel anxious about the possibility of warts spreading to other parts of your body. However, not everyone who comes into contact with HPV will develop warts. The body's immune response plays a significant role in determining whether the virus will cause visible warts.
If you have already tried over-the-counter treatments without success, it may be beneficial to consult a dermatologist for a more tailored treatment plan. They can assess the wart on your thumb and recommend the most effective treatment based on its characteristics and your medical history.

In summary, while warts can be bothersome and concerning, there are effective treatments available, and preventive measures can significantly reduce the risk of spreading the virus. If you have further questions or concerns, do not hesitate to reach out to a healthcare professional for personalized advice and support.

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