The difference between skin tags and filiform warts

Written by Zhang Jing
Dermatology Department
Updated on September 18, 2024
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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 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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Are filiform warts prone to recurrence?

Filiform warts are caused by an infection with the human papillomavirus, and are highly contagious. They typically grow in the folds of the skin, such as the neck or armpits. Once detected, it is advised to seek laser treatment at a dermatology department of a reputable hospital. After laser removal, recurrence is common within half a month to a month. If recurrence is observed, it is best to remove them promptly, and after several repetitions, they can generally be completely cured. Due to the contagious nature of this condition, it is advisable not to share face towels with family members to avoid cross-infection. Additionally, one should avoid frequently scratching the affected areas, as this can lead to further spreading.

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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 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 Liu Gang
Dermatology
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Can filiform warts be transmitted between spouses?

Filiform warts are caused by human papillomavirus (HPV) infection, which is quite contagious. Transmission between spouses can be more severe due to prolonged contact, or sharing items like towels and bath mitts, which can lead to infection. Once one person is infected, it is crucial to seek standardized treatment at a hospital. The most common treatment currently used is laser removal, which in most cases can cure the condition in one or two sessions. However, some patients may experience recurrent outbreaks, requiring laser treatment each time to prevent the warts from multiplying and spreading. During treatment, towels and bath mitts should be frequently disinfected and not shared. Additionally, it is recommended to engage in regular exercise to boost the immune system, or take oral medications that enhance immunity to prevent recurrence.