They can be painful and look like a bump on the bottom of the foot with a central core that is skin-colored or black. Filiform Wart: These warts grow in finger-like projections that appear pedunculated they have a stalk. They are most commonly found on the face, such as near the eyes or mouth.
Periungual Warts: Similar in look to the common wart, periungual warts grow in clusters around the nails. They can be hard to manage and are sometimes resistant to standard treatments. Genital Warts condyloma acuminatum : Genital warts appear on or near the genitals or anus, and are considered a sexually transmitted infection. They are smooth or cauliflower-like papules that are skin-colored or brown. Like other warts, genital warts are contagious. They can vary in size and number and occur in both men and women.
Over-the-Counter Treatments Because warts are so common, there are many over-the-counter treatments that exist. Topical salicylic acid , particularly 40 percent or higher, has been shown in clinical trials to be as effective as in-office treatments. However, treatment may take longer. There are several strengths available over-the-counter. At-home freezing treatments can be found in regular drugstores as well. Because these treatments do not get as cold as the freezing treatments performed by your dermatologist, they may not work as well.
Applying duct tape over warts overnight and every night until the wart disappears can be a successful, easy and safe method of treatment. The evidence of this method working has been mixed. Prescription Treatments Some treatments may be prescribed by your dermatologist, and then are applied at home: Imiquimod is a topical cream that is applied to warts to aid the immune system in fighting the lesions.
It is only available by prescription and is applied at home by the patient. In-Office Treatments Several in-office treatments are also available from your dermatologist.
These are performed during an office visit: Cryotherapy is a standard in-office treatment that uses liquid nitrogen to help destroy the wart as well as create an immune response to help clear the wart. In some people, this may cause mild to moderate discomfort both during and after the procedure. Some, like those on the face, may be smooth and flat. The center of a wart may be flecked with dark dots; these are capillaries that supply it with blood. Warts occur when skin cells grow faster than normal because they are infected with the human papillomavirus HPV.
Among the strains of HPV, about 10 cause cutaneous skin warts, including common, plantar, and flat warts see "Common types of skin warts," below. Certain other strains cause anal warts and genital warts.
Some sexually transmitted types of HPV are implicated in cervical and other genital cancers, but the strains that cause skin warts have rarely been linked to cancer. All of us come into contact with HPV repeatedly — when we shake hands or touch a doorknob, for example — but only some of us develop warts, and that's hard to explain.
Children and people with immune system abnormalities are particularly vulnerable. For reasons that aren't entirely clear, so are people in certain occupations, such as meat, fish, and poultry handlers. But the most likely explanation is that some people are simply more prone to warts than others. Skin warts aren't highly contagious. They can spread from person to person by direct contact, mainly through breaks in the skin.
Theoretically, you can also pick up warts from surfaces such as locker room floors or showers, but there's no way to know how often this occurs. Warts on one part of the body can be spread to other areas, so it's important to wash your hands and anything that touches your warts, such as nail files or pumice stones.
A wart virus infection is different from a bacterial infection such as strep throat, which can be caught, treated, and eradicated because it progresses in a distinct, reliable pattern. The ways of warts are much less predictable. According to dermatologist Dr. Suzanne Olbricht, "The wart virus resides in the upper layer of the skin, and who knows where or when you picked it up? The virus could have been there for years. Then it makes a wart for reasons we don't understand.
And when the wart goes away, you can still find the virus in the epidermis. Found mostly on the hands, but may appear anywhere.
Those under or around the fingernails and toenails can be hard to treat. Cronan, MD. Larger text size Large text size Regular text size. There are several types of warts, including common warts, flat warts, and plantar warts.
Signs and Symptoms Of a common wart: located on back of hands, around nails, and in the mouth, or at the site of cuts and scratches a small flesh-colored bump a rough surface that looks like cauliflower pink or white soft bumps in the mouth tiny black dots inside the wart Of a flat wart: located on the face, neck, arms, or legs small smooth bumps with a flat top flesh-colored or pink to light brown may be in groups of 20 to Of a plantar wart: located on the sole of the foot pressed into the skin tiny black dots inside may be painful What to Do Without treatment, it can take anywhere from 6 months to 2 years for a wart to go away.
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