Filiform wart

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Written by Li Ya Ping
Dermatology Department
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What causes filamentous warts?

Filiform warts are caused by the Human Papillomavirus (HPV) infection, and they can spread through direct or indirect contact. They primarily present as single or multiple protruding lesions, occurring typically on eyelids and neck regions. These lesions are slender and soft, having the color of normal skin or slightly brown. Generally, there are no symptoms felt by the patient. In clinical practice, filiform warts can sometimes be confused with skin tags. In some cases, doctors might mistake skin tags as filiform warts, or vice versa, since skin tags also commonly develop in folds of the skin such as the neck and armpits. The treatment of filiform warts mainly involves physical removal methods.

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Written by Qu Jing
Dermatology
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Are filamentous warts the same as flat warts?

Filiform warts and flat warts are different; their commonality is that both belong to viral warts, which are benign growths caused by the human papillomavirus (HPV) infecting the skin and mucous membranes. Clinically, they are caused by different subtypes of HPV, and their appearances are distinct. Filiform warts are caused by HPV type 2, characterized by elongated, protruding growths with a keratinized tip, hence the name filiform warts. On the other hand, flat warts are often caused by HPV type 3, commonly found on the face, backs of hands, and forearms. These lesions are flat, slightly raised papules, circular or oval-shaped, with a smooth, hard surface and are naturally skin-colored or light brown. They usually appear suddenly, in large numbers, and are densely packed.

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Written by Zhang Jing
Dermatology Department
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Are filiform warts an early stage of cancer?

Filiform warts are not cancer; they are caused by a virus, which means they are a viral infection that manifests as a skin disease. The pathogen responsible is the human papillomavirus, making it a benign skin condition. It is also important to note that filiform warts are different from skin tags, and many people confuse the two. In fact, these are two completely different skin conditions: filiform warts are an infectious disease, while skin tags are a benign tumor of the skin. Although both can be treated with lasers, skin tags only affect appearance, whereas filiform warts are contagious and can be transmitted to oneself or others. Therefore, if you find filiform warts, it is best to seek laser treatment at a hospital as soon as possible.

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Written by Liu Gang
Dermatology
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Can filamentous warts be cut off by oneself?

Filiform warts are caused by infection with the human papillomavirus and are contagious and prone to recurrence. It is advised not to use scissors to cut them off yourself, because the roots of the filiform warts may still be attached to the skin and remain contagious. The best treatment for filiform warts is to go to a regular hospital's dermatology department and have them removed with a laser. Afterwards, apply interferon spray topically to effectively prevent recurrence. It is also important to avoid spicy and irritating foods, refrain from staying up late, and frequently sun and disinfect bath towels and scrubbing cloths. Do not share these items with family members to avoid infecting them. If you develop this condition, it is advisable to seek treatment promptly when the warts are small or few in number, otherwise, they could proliferate on your body, potentially appearing on the neck, armpits, and groin.

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Written by Liu Gang
Dermatology
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Will filiform warts grow back after removal?

Filiform warts are caused by human papillomavirus (HPV) infection. This disease is characterized by strong contagiosity and recursivity, with many cases likely experiencing recurrence after the initial treatment. The recurrence period varies; depending on individual immune strength, recurrences may occur about every half a month to one month. Once recurrence happens, it is necessary to treat again and remove the newly appeared warts. Some people may experience repeated recurrences and require multiple treatments to be completely cured. During the treatment period, interferon can be applied topically to prevent excessive viral proliferation. During the treatment period, it is also important to follow a proper diet and lifestyle habits. Bath sponges and towels should be used separately from other family members to prevent cross-contamination. Used items should be sun-dried and disinfected, and it is beneficial to eat foods that clear heat and reduce internal heat.

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Written by Huang Ling Juan
Dermatology
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Do filiform warts itch?

Filiform warts generally do not itch and are caused by an infection with the human papillomavirus (HPV), which has a certain degree of contagiousness. Filiform warts typically appear in areas such as the neck, armpits, and groin. They do not impact health but can affect appearance. Filiform warts are a special type of common wart. In clinical treatment, the main methods include using carbon dioxide laser treatment or cryotherapy with liquid nitrogen. The occurrence of filiform warts is somewhat related to a decrease in body immunity. If one finds cryotherapy or carbon dioxide laser treatment painful, topical ointments can be an option. Interferon ointments, for instance, can be helpful.

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Written by Huang Ling Juan
Dermatology
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What is the difference between skin tags and filiform warts?

Skin tags and filiform warts are clearly distinct. Clinically, skin tags are a type of soft external appearance, a skin soft fibroma, non-infectious, and somewhat hereditary; on the other hand, filiform warts are caused by a viral infection, offering a raised, smooth growth on the skin surface, and are somewhat infectious. The causes of each are different: filiform warts are due to human papillomavirus infections and commonly occur on the face and neck; whereas skin tags are mainly caused by skin aging. Treatment for filiform warts typically involves the use of lasers or cryotherapy, while skin tags may also be removed surgically or treated effectively with liquid nitrogen cryotherapy. Thus, there are differences in both the causes and clinical presentations of the two.

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Written by Zhang Jing
Dermatology Department
1min 17sec home-news-image

The difference between skin tags and filiform warts

Skin tags and filiform warts are two completely different skin conditions. In terms of etiology, skin tags are benign skin tumors, also known as soft fibromas. Filiform warts, on the other hand, are an infectious skin disease caused by human papillomavirus infection. Regarding the location of occurrence, skin tags commonly develop in areas of skin folds such as the neck and armpits. Filiform warts, aside from these areas, can also occur in other locations, such as the face and trunk. Regarding the appearance of the skin lesions, skin tags can be filamentous, but they can also be spherical, and their surface doesn't have any keratinized material, making their texture very soft overall. Filiform warts are filamentous growths with a keratinized surface, making them appear harder and feel rougher to the touch. Both conditions can be treated with lasers. However, since filiform warts are a viral skin disease with some contagiousness, it is important to seek medical advice and laser removal at a hospital as soon as they are discovered.

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Written by Liu Jing
Dermatology
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Filiform warts are caused by what?

Filiform warts, also known as skin tags, often have a certain family history and are common among overweight adults, particularly around the neck area. It is important to enhance skin cleanliness. Partially, the cause is a viral infection by the Human Papillomavirus, abbreviated as HPV. When necessary, physical treatments such as cryotherapy with liquid nitrogen or laser removal commonly used in clinical settings can be adopted to remove the warts. These methods are complemented by immune modulation, such as taking oral thymopentin enteric capsules, and applying interferon gel on the affected skin area to inhibit viral replication. The contagiousness is not very strong. It is advised to disinfect underwear and avoid harmful stimuli such as scratching or squeezing. (Please follow medical advice when using medications.)

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Written by Qu Jing
Dermatology
1min 5sec home-news-image

Do filamentous warts have anything to do with being sharp?

Filiform warts and condyloma acuminata both belong to viral warts, which are benign growths caused by the infection of the skin or mucous membranes by the human papillomavirus (HPV). In clinical practice, the HPV subtypes that infect filiform warts and condyloma acuminata are different. Filiform warts are a type of common wart, characterized by their elongated, protruding bodies with keratinized tips, which is why they are called filiform warts. They commonly occur on the neck, forehead, and eyelids. On the other hand, condyloma acuminata is caused by HPV subtypes 6, 11, 16, and 18, among others. Condyloma acuminata is a type of sexually transmitted disease, typically occurring in areas like the anus and external genitalia, and is mainly transmitted through sexual contact. Condyloma acuminata is currently one of the most common sexually transmitted diseases globally.