How is flat wart caused?

Written by Liu Jing
Dermatology
Updated on February 02, 2025
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Flat warts are caused by a viral infection, with HPV as the pathogen. They commonly occur on exposed areas such as the face and the backs of the hands, and are most frequently seen in adult women and children. It is necessary to strengthen immunity and provide symptomatic treatment. When necessary, physical treatments can be used to promote the disappearance of the warts, such as the commonly used methods of liquid nitrogen freezing or laser treatments. Oral administration of thymopeptide enteric capsules or pimecrolimus granules can also be used. For particularly stubborn cases, in addition to the support of traditional Chinese medicine, treatment may also need to include skin photodynamic therapy. This involves a basic treatment course of once a week for three continuous weeks, applying a photosensitizer to the affected area followed by exposure to a certain light source.

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Written by Huang Ling Juan
Dermatology
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Signs before the regression of flat warts

Signs before the regression of flat warts include slight itching in some people, or a numb sensation in others. During the healing process of flat warts, immune cells repair the local skin lesions and release inflammatory factors, causing mild itching. The rash of the flat warts will also turn red, gradually shrink, and then scab over. If the flat warts have been treated with liquid nitrogen freezing or laser, there might be some pain before they regress. However, before the regression of flat warts, many people do not show any special symptoms and most people's flat warts regress unknowingly. The occurrence of flat warts is due to a viral infection, and they can be removed under the guidance of a doctor using liquid nitrogen freezing treatment or laser 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 Liu Gang
Dermatology
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Difference between Sebaceous Nevus and Flat Warts

Sebaceous nevus is primarily associated with localized epidermal growth and development, and is a type of benign hyperplasia. Most people are affected from birth or at a very young age, generally limited to one area and do not spread massively or contagiously across the body. Flat warts are caused by human papillomavirus (HPV) infections, which are contagious and recurrent, and can appear all over the body, not just in one area. Flat warts are generally dot-like or circular, whereas sebaceous nevi are mostly linear in growth, becoming larger and more proliferative over time. The most common treatment for sebaceous nevus is surgical removal, while flat warts can be selectively removed using laser treatment.

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Written by Liu Gang
Dermatology
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Can flat warts be treated with laser?

Flat warts are a disease caused by human papillomavirus (HPV) infection, and they are highly contagious and recurrent. Generally, they can be treated with laser therapy, but this method is mainly for patients with fewer growths. If there are many growths, the effectiveness of laser treatment may not be very good, and extensive laser use can easily cause scarring or leave laser marks. For multiple flat warts, the most common approach is still to use immunotherapy, or to take antiviral medications orally and topically over the long term. During the treatment of flat warts, it is important to avoid sharing towels or bath mitts to prevent cross-infection, although laser treatment can still be quite effective for smaller flat warts.

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Written by Liu Gang
Dermatology
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How to remove flat warts

Flat warts are caused by the human papillomavirus infection, commonly known as the HPV virus. This disease is highly contagious and recurrent; once it appears, it tends to grow on various parts of the body in most individuals. The most commonly used primary treatment method is laser removal of the warts, followed by the application of topical antiviral medications. This method is generally suitable for flat warts that are less numerous. Another method is wart vaccination therapy, which involves removing the flat warts and using them to create a vaccine that is implanted into the muscle of the patient, generating antibodies to fight against the flat warts. The last method involves the use of oral and topical medications, but this method is slower and requires long-term treatment. The treatment of flat warts also necessitates a long-term dietary avoidance of spicy and stimulating foods, increased physical exercise, and a stronger focus on immunotherapy.