Viral Warts: Risks of Frozen Treatment and Infection - Dermatology

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Viral warts


Regarding viral warts, if you have undergone cryotherapy and developed a blister that has burst, the fluid that comes out may contain the virus.
Since the wart is located on your toe and you are concerned about it bursting inside your shoe, it is important to be cautious.
If you touch the wound while showering, there is a possibility of transferring the virus, especially if the area is not properly cleaned.
It is advisable to keep the area clean and covered to minimize the risk of spreading the virus.

Wei, 20~29 year old female. Ask Date: 2013/11/14

Dr. Wu Yuxin reply Dermatology


Viruses are typically present in the infected epidermal layer.
Blisters that form after freezing are generally deeper and may not necessarily contain the virus; instead, it is important to be cautious about preventing secondary bacterial infections of the wound.

Reply Date: 2013/11/14

More Info


Viral warts, caused by the human papillomavirus (HPV), are common skin growths that can be treated through various methods, including cryotherapy (freezing treatment). After undergoing cryotherapy, it is not uncommon for blisters to form at the treatment site. If these blisters break, it raises concerns about the potential for viral transmission.

1. Understanding the Risk of Infection: When a blister forms after cryotherapy, it is filled with fluid that can contain remnants of the virus. However, the risk of transmission through this fluid is relatively low. The HPV that causes warts is typically localized to the wart itself and does not spread easily through casual contact. While the fluid from a broken blister may contain viral particles, the likelihood of contracting HPV from touching this fluid is minimal, especially if the skin is intact and not directly exposed to the virus.

2. Washing and Hygiene: If you accidentally touch the blister or its fluid, it is crucial to wash your hands thoroughly with soap and water. This practice significantly reduces the risk of transmitting the virus to other areas of your body or to other individuals. If the blister has broken and you have an open wound, it is advisable to keep the area clean and covered to prevent secondary infections and further irritation.

3. Transmission through Water: Regarding your concern about bathing and the potential for the virus to spread through water, HPV is not typically transmitted through water. The virus requires direct skin-to-skin contact for transmission. Therefore, washing the affected area in the shower should not pose a significant risk, provided that you are careful not to touch the wart or broken blister with other parts of your body.

4. Preventive Measures: To minimize the risk of spreading the virus, avoid sharing personal items such as towels, shoes, or socks. It is also advisable to refrain from picking at the wart or any blisters that may form, as this can lead to further irritation and potential spread of the virus to other areas of your skin.

5. Consulting a Healthcare Professional: If you notice any signs of infection, such as increased redness, swelling, or pus coming from the blister, or if you have concerns about the wart itself, it is essential to consult a healthcare professional. They can provide guidance on proper care and may recommend additional treatments if necessary.

In summary, while there is a theoretical risk of viral transmission from the fluid of a broken blister, the practical risk is low. Maintaining good hygiene, avoiding direct contact with the wart, and consulting with a healthcare provider if you have concerns are the best strategies to manage the situation.

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