Is a common wart initially a red dot?

Written by Huang Ling Juan
Dermatology
Updated on September 21, 2024
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Common warts in their early stages are generally not just a red dot. The symptoms of common warts initially are usually grain-sized papules that gradually grow larger, with a rough, hard surface turning dirty yellow or grayish-brown, though some may be skin-colored. Common warts are typically solitary or multiple and commonly appear on the fingers, backs of hands, and edges of the feet. For common warts, topical medications can be used for treatment, such as applying recombinant human interferon ointment or using acetic acid solution. Additionally, treatment at a regular hospital's dermatology department can involve liquid nitrogen freezing therapy or carbon dioxide laser therapy. Surgical removal is also an option. If there are many warts, it is also necessary to combine treatment with oral antiviral medications and medications to boost the immune system.

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Written by Liu Gang
Dermatology
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How to eradicate common warts

Common warts are caused by human papillomavirus infection. This disease is contagious and recurrent. Currently, the most common treatment is cryotherapy with liquid nitrogen. Generally, small warts can often be completely removed with one treatment. Slightly larger warts may require two to three, or even three to four cryotherapy sessions, but they can ultimately be completely cured. Clinically, a topical remedy called Wart-Off can also be used to completely cure the warts, although this method may take a longer period. During the treatment period, avoid consuming spicy and stimulating foods, as they may cause the virus to grow more rapidly. Try to avoid scratching the affected area, as this behavior could potentially spread the disease and lead to more growth. It is also important to protect the normal skin during treatment.

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Written by Qu Jing
Dermatology
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What should I do if new warts grow around the area after freezing common warts?

Common warts can often develop new growths around the area after being frozen. This situation is common in clinical settings because common warts are caused by HPV infection, a type of viral skin disease that tends to recur. Therefore, clinically, we recommend continuing treatment persistently after recurrence, whether by freezing, using lasers, or other methods, to fully resolve the issue. If treatment is delayed, the warts can increase in number. Commonly used physical treatments include freezing, electrocautery, scraping, lasers, etc., and are suitable when there are fewer lesions. Since there are currently no definitive effective anti-HPV medications, recurrence is common in clinical settings. At this time, we can use some immunomodulators, such as interferons, which have certain inhibitory effects. Simultaneously, traditional Chinese medicine methods such as clearing heat, detoxifying, dispelling wind, smoothing the liver, dispersing masses, and combined with external washing of Chinese medicine, can sometimes achieve better therapeutic effects.

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Written by Huang Ling Juan
Dermatology
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Are common warts and flat warts caused by the same virus?

Common warts and flat warts are caused by infections of the same virus, mainly due to Human Papillomavirus (HPV), but not by the same type. There are over one hundred types of HPV, with more than eighty types associated with human diseases. The types of HPV that cause flat warts are mainly type 3 and type 5, while the types that cause common warts are mainly HPV type 1, type 2, type 4, and type 7. Therefore, common warts and flat warts are caused by different types of HPV infections. The appearance of flat warts and common warts is primarily due to minor lesions in the skin and mucous membranes, allowing the virus to enter the epithelial cells of the human body. There, the virus replicates and proliferates, leading to abnormal proliferation and differentiation of epithelial cells, forming benign growths on the epidermis.

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Written by Qu Jing
Dermatology
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Will common warts grow back after being removed?

Common warts, even when picked off, are very likely to regrow, as they are benign growths caused by an infection of the skin and mucous membrane with the Human Papillomavirus, or HPV. Due to their viral nature, they tend to recur easily. Common warts, also known as verruca vulgaris or plantar warts, are typically caused by HPV type 2 and mainly occur between the ages of 5 and 20. They can appear on any part of the body due to autoinoculation and are most commonly found on the hands and feet. These areas are susceptible due to frequent injuries or prolonged exposure to water, which are common triggering factors. After a wart is removed, the surrounding areas might already be infected, potentially leading to new warts appearing over time.

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Written by Qu Jing
Dermatology
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Is a common wart an HPV carrier?

Common warts are caused by HPV, the human papillomavirus, which infects the skin and mucous membranes, causing benign growths that appear as various types of warts. Clinically common types include ordinary warts, flat warts, plantar warts, and genital warts, among others. Common warts are also known as verruca vulgaris, predominantly caused by HPV type 2, and they mainly occur between the ages of 5 and 20 but can also appear in other age groups. Due to autoinoculation, they can occur on any part of the body, primarily on the hands. Common precipitating factors include hand injuries or conditions involving swelling and soaking. Typical lesions are the size of a soybean or larger, grey-brown, brown, or flesh-colored papules with a rough surface, hard texture, and may have a cauliflower-like or papillomatous growth.