Viral Warts: Treatment Options and Patient Concerns - Dermatology

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Viral warts, also known as verrucae, are benign epithelial tumors caused by the human papillomavirus (HPV). They can appear on various parts of the body, including the hands, and are often characterized by their rough surface and the presence of tiny black dots, which are thrombosed capillaries. Treatment options for viral warts vary based on the size, location, and number of warts, as well as the patient's overall health and preferences.

1. Cryotherapy (Freezing Treatment): This is a common method for treating warts. It involves applying liquid nitrogen to freeze the wart, causing it to blister and eventually fall off. After cryotherapy, it is generally advised to avoid cutting or picking at the area, including trimming dead skin. This is because the area may still be healing, and disrupting it can lead to complications or further irritation. It is best to allow any dead skin to naturally slough off over time.

2. Immunotherapy with Topical Treatments: Products like "乐得美" (likely referring to a topical treatment containing salicylic acid or other active ingredients) are designed to stimulate the immune response against the wart. A burning or stinging sensation after application can indicate that the treatment is working to some extent, as it may be irritating the wart tissue and stimulating an immune response. However, it is essential to follow the instructions provided with the medication and consult with your healthcare provider if the sensation is severe or accompanied by other concerning symptoms.

3. Managing Dead Skin and Treatment Efficacy: After cryotherapy, if the wart area develops thick dead skin, it may hinder the absorption of topical treatments like 乐得美. In such cases, gently exfoliating the area with a pumice stone or a gentle scrub can help remove excess dead skin, allowing for better absorption of the topical medication. However, care should be taken not to irritate the area excessively. If the dead skin is too thick, it may be beneficial to consult your healthcare provider for advice on how to proceed, as they may recommend additional treatments or adjustments to your current regimen.

In summary, managing viral warts can be a gradual process, and patience is often required. It's crucial to maintain open communication with your healthcare provider regarding your treatment progress and any side effects you experience. If you find that your current treatment is not yielding results after a reasonable period, it may be worth discussing alternative treatment options, such as laser therapy, cantharidin application, or other forms of immunotherapy. Remember, while warts can be persistent, they are generally harmless and can be effectively treated with the right approach.