Flat Warts: Are They Linked to Syphilis or HPV? - Surgery

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Flat warts


Are flat warts the same as syphilis? Are they also a type of HPV (genital warts)? I went to the hospital for an examination of my anus, and the doctor said I have flat warts (there are also some inside).
The doctor mentioned that I need to undergo electrosurgery.
Will electrosurgery resolve these warts? If they are caused by syphilis, does that mean they cannot be treated?

Wei, 20~29 year old female. Ask Date: 2016/01/01

Dr. Ke Fangxu reply Surgery


Flat warts and syphilis are two different diseases.
The former is caused by a viral infection, while the latter is caused by the Treponema pallidum bacterium.
The treatment methods are also different; flat warts indeed require electrosurgery for proper removal, whereas syphilis requires antibiotic treatment.

Reply Date: 2016/01/01

More Info


Flat warts, also known as verrucae planae, are benign growths caused by certain types of human papillomavirus (HPV). They are different from genital warts, which are typically associated with HPV types 6 and 11, the strains responsible for the common "cauliflower" appearance of warts. Flat warts can appear on various parts of the body, including the face, arms, and legs, and they are characterized by their smooth, flat surface.
To clarify your concerns, flat warts are not linked to syphilis. Syphilis is a sexually transmitted infection caused by the bacterium Treponema pallidum, and it presents with different symptoms, including sores, rashes, and systemic effects if left untreated. Therefore, having flat warts does not mean you have syphilis, nor does it imply that you have contracted HPV in the same way that genital warts manifest.

Regarding your diagnosis of flat warts in the anal area, it is essential to follow your doctor's recommendations. The treatment method mentioned, electrosurgery (or electrocautery), is a common and effective way to remove warts. This procedure involves using electrical currents to burn off the wart tissue, which can effectively eliminate the visible warts. However, it is important to note that while electrosurgery can remove the warts, it does not cure the underlying HPV infection. The virus may remain dormant in the skin, and warts can recur.

If you are concerned about whether your flat warts are related to a syphilis infection, it is crucial to undergo appropriate testing. Syphilis can be diagnosed through blood tests, and if you have any symptoms or risk factors, it is advisable to discuss these with your healthcare provider.
In summary, flat warts are not indicative of syphilis, and they are a manifestation of HPV. Treatment options like electrosurgery can effectively remove them, but they do not eliminate the virus itself. Regular follow-ups with your healthcare provider are essential to monitor for any recurrence of warts and to ensure that you are screened for other sexually transmitted infections, including syphilis, if necessary.
If you have any further questions or concerns about your health, please do not hesitate to reach out to your healthcare provider for personalized advice and treatment options.

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