Viral Warts: How Are They Transmitted and Treated? - Dermatology

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Viral warts?


Recently, my girlfriend developed a bump above her upper lip that initially looked like a pimple but has protruded over the past week or two.
She visited a dermatologist who diagnosed it as a viral wart and performed cryotherapy.
I researched online and found that this is caused by human papillomavirus (HPV) infection.
I would like to know how this is typically transmitted.
We are each other's only sexual partners; could it have been contracted from other environments? For example, from hot springs, oil massages, or other situations? Should I get tested?

A Gui, 30~39 year old female. Ask Date: 2013/04/25

Dr. Wu Yuxin reply Dermatology


Contact transmission.
There are many sources of infection, including yourself, unclean towels, and facial treatments at beauty salons.
As for you, just observe more and there's no need to worry too much.

Reply Date: 2013/04/25

More Info


Viral warts, commonly caused by the human papillomavirus (HPV), are benign growths that can appear on various parts of the body, including the face, hands, and feet. They are typically characterized by their rough texture and can vary in size. Understanding how these warts are transmitted and treated is essential for managing the condition and preventing further spread.


Transmission of Viral Warts
HPV is primarily transmitted through direct skin-to-skin contact. This means that if you come into contact with the wart of an infected person, you can potentially contract the virus. However, it is important to note that HPV can also survive on surfaces for a limited time, which means that indirect transmission is possible. Here are some common ways HPV can be transmitted:
1. Direct Contact: This is the most common method of transmission. If your girlfriend has a wart and you touch it, you could become infected.
2. Indirect Contact: HPV can survive on surfaces such as towels, floors, or shared items like razors. If you use a towel that has come into contact with a wart, you could potentially contract the virus.

3. Environmental Factors: Public places such as swimming pools, locker rooms, and showers can harbor the virus, especially if the skin is broken or compromised. Activities like soaking in a hot spring or receiving a massage in a shared environment could pose a risk, although the likelihood is lower compared to direct contact.

4. Immune System Factors: Individuals with weakened immune systems are more susceptible to contracting HPV and developing warts. Factors such as stress, illness, or certain medications can affect immune function.


Treatment of Viral Warts
Treatment for viral warts can vary depending on their size, location, and the patient's preference. Here are some common treatment options:
1. Cryotherapy: This involves freezing the wart with liquid nitrogen, causing it to fall off over time. This method is effective but may require multiple sessions.

2. Topical Treatments: Over-the-counter treatments containing salicylic acid can help dissolve the wart. These treatments may take several weeks to be effective.

3. Laser Therapy: In some cases, laser treatment may be used to remove warts, especially if they are resistant to other treatments.

4. Surgical Removal: For larger or persistent warts, a healthcare provider may recommend surgical excision.

5. Immunotherapy: This treatment aims to stimulate the immune system to fight off the virus. It may involve topical applications or injections.


Should You Get Tested?
Given that you and your girlfriend are in a monogamous relationship, the likelihood of transmission through sexual contact is lower, but it is still possible. If you notice any unusual growths or changes in your skin, it is advisable to consult a healthcare provider for evaluation. They may recommend testing or monitoring for any signs of HPV-related conditions.


Conclusion
In summary, viral warts are primarily transmitted through direct contact with an infected person or contaminated surfaces. While you may have concerns about how your girlfriend contracted the virus, it is essential to focus on treatment and prevention. If you have any symptoms or concerns, seeking medical advice is the best course of action. Additionally, maintaining good hygiene practices, such as not sharing personal items and keeping your skin healthy, can help reduce the risk of HPV transmission.

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