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WART FACTS By Dr. Benjamin B. Bince

Common skin warts are raised oval growths on the skin that are caused by a

virus (human papillomavirus [HPV]). They can be skin-colored or darker. Some

warts may have tiny black dots in them which are actually clotted blood vessels.

One can be infected by the virus by direct contact with the wart, i.e. by touching

or rubbing your skin against it. The virus is more likely to infect injured or

softened (usually by water/moisture) skin. It can take up to six months for a

wart to develop after exposure.
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Skin warts are most commonly seen in children and young adults. People who

handle meat, fish and poultry frequently are also infected with the virus more

often. Not because the virus is present in these products but because their hands

are often wet and the virus could easily infect their skin. People with chronic

conditions such as eczema or a weakened immune system (e.g. AIDS or post-

organ transplant) are also prone to developing warts.

Common skin warts are often seen on the fingers, hands, knees and elbows.

When they are located around the nails, they are called periungual warts. These

warts enlarge and affect nail growth if left untreated.

Warts on the soles of the feet are called “plantar warts.” They can be

particularly bothersome because they can be painful and deep rooted which

makes it difficult to walk. Warts that infect the genital area are called “genital

warts.” These are sexually transmitted and may be a leading cause of cervical

cancer in women. An HPV vaccine is now available to protect sexually active

women from this virus.

Flat warts are commonly seen on the face. Several people come to a clinic, even

salons, to have their facial warts removed.

What can mimic a wart on the face? There are many lesions that can be

mistaken for a facial wart. The most common of them would be moles and a

benign growth on the skin commonly seen in Asians – Filipinos in particular –

and blacks called “dermatosis papulosa nigra (DPN)” or seborrheic keratosis.

DPN’s are very common among kabayans and I would say the most common

lesion mistaken for a “wart.” Fortunately, removing a wart and a DPN requires

the same method. However, DPNs are not caused by a virus and are not

infectious.

Many treatment regimens are available for warts but it depends upon where the

wart is located and how much it bothers the person.

Home treatment regimens discussed online, such as salicylic acid, may be

beneficial to many types of warts if used correctly. People with neuropathies,

nerve damage that causes numbness, should not use these home remedies.

There are also prescription treatments available. Cautery is a favorite treatment

for warts, especially among Filipinos; this should be performed only by a

competent specialist.

You also have to be sure it is a wart that is being removed. Recurrences may be

alarming and if you are not properly advised, this can be a stressful situation.

You should consult your healthcare provider if:

 You are not sure if your skin growth is a wart.

 Your skin wart did not improve with home treatment regimens.

 You would like to use home treatment, but you are not sure which

treatment is right for you.

 You have been treated for warts and have developed signs of a skin

infection, such as redness, pain, or pus-like drainage from the treated

area.

— — — — — — — —

Dr. Benjamin B. Bince is a Specialist Dermatologist at THE MEDICAL CITY

located at Al Diyafah Street, Jumeirah First, beside Enoc Petrol Station,

Dubai, UAE.

Contact No. 04-3434265, 055 135 4820 website: www.samatmc.ae

email: [email protected]

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