Warts are small, harmless growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another. Warts are benign (noncancerous) and generally painless. They may disappear without any treatment. However, in most cases eliminating warts takes time.

The location of a wart often characterizes its type:

Common warts can appear anywhere on the body, although they most often appear on the back of fingers, toes and knees. These skin-colored, dome-shaped lesions usually grow where the skin has been broken, such as a scratch or bug bite. They can range in size from a pinhead to 10mm and may appear singly or in multiples.

Filiform warts look like a long, narrow, flesh-colored stalk that appears singly or in multiples around the eyelids, face, neck or lips. They are sometimes called digitate (fingerlike) warts. They may cause itching or bleeding, but are easy to treat with over-the-counter medications or liquid nitrogen.

Flat (plane) warts appear on the face and forehead. They are flesh-colored or white, with a slightly raised, flat surface and they usually appear in multiples. Flat warts are more common among children and teens than adults. Treatment can be difficult, since the newest flat warts may be invisible at any given time.

Genital warts appear around the genital and pubic areas. It is also possible to get genital warts inside the vagina and anal canal or in the mouth (known as oral warts). The lesions start small and soft but can become quite large. They often grow in clusters. They are both sexually transmitted and highly contagious. In fact, it is recommended you generally avoid sex with anyone who has a visible genital wart. Genital warts should always be treated by a physician.

Plantar warts appear on the soles of the feet and can be painful since they are on weight-bearing surfaces. They have a rough, cauliflower-like appearance and may have small black specks in them. They often appear in multiples and may combine into a larger wart called a mosaic wart. 

Subungual and periungual warts appear as rough growths around the fingernails and/or toenails. They start as nearly undetectable, pin-sized lesions and grow to pea-sized with rough, irregular bumps with uneven borders. Subungual and periungual warts can impede healthy nail growth. Because of their location, they are difficult to treat and generally require medical attention.

Most warts respond to over-the-counter treatments, including salicylic acid preparations which slowly dissove the skin keratin and destroy the wart.  These are available in gels, pads, drops, and plasters and take about 4-6 weeks of regular use to work in most cases. Repeated occlusion with duct tape, left on for about a week at a time, may also work.

If self treatment doesn't work after a month or two, contact our office.  We'll assess your warts and recommend the best option.  Treatment in our office may involve:

  • Cryotherapy, which freezes off the wart using liquid nitrogen.
  • Electrosurgery, which sends an electric current through the wart to kill the tissue.
  • Topical immunotherapy, using a small amount of allergen (kind of like poison ivy) applied at home to attract the immune system to fight the wart.
  • Bleomycin injections, a chemical highly toxic to wart-infected skin cells, which causes the wart to blacken and die.

 

Always contact a dermatologist if your wart is causing pain, changes in color or appearance and for all genital warts.