Filiform warts are caused by what?

Written by Liu Jing
Dermatology
Updated on September 16, 2024
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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 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 Zhang Jing
Dermatology Department
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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 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 are filamentous warts?

Filiform warts are a type of skin disease caused by the human papillomavirus infection, and they belong to a kind of common warts, often seen in women, with a certain degree of contagiosity. They are usually related to a decline in the body’s immune function. For example, in cancer patients or those with HIV where the immune system is compromised, filiform warts can easily occur. The clinical presentation of filiform warts typically includes brown or light brown lesions, some of which match the normal skin tone. They appear as elongated, soft, pedunculated growths and can vary in number from several to several hundred. They generally occur on eyelids, neck, and scalp among other areas. For the treatment of filiform warts, options under medical guidance include using carbon dioxide laser therapy, cryotherapy with liquid nitrogen, or removal through high-frequency electrical ion cauterization.

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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.