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 Jing
Dermatology
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Is the recurrence rate of common warts high?

Common warts, commonly known as verruca vulgaris, are infectious due to human papillomavirus infection and have a high recurrence rate. For example, warts occurring on the feet are called plantar warts, which often have a long disease course and require multiple cryotherapy treatments, even more than ten times, and can recur and reoccur. It is necessary to enhance skin cleanliness, avoid external factors such as injuries, and provide active and effective antiviral treatment and immunomodulatory supportive symptomatic treatment. Early intervention with physical treatments, such as cryotherapy with liquid nitrogen, laser treatment, or even surgical removal of the wart, can be combined with oral medications like thymosin enteric capsules and topical interferon gel to suppress virus replication.

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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 Liu Gang
Dermatology
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Can a common wart that hasn't ruptured be contagious?

Common warts are contagious even without broken skin. Common warts are caused by an infection with a subtype of the human papillomavirus (HPV). The disease is primarily transmitted through contact with each other, and it is not necessary for the surface to have wounds or cuts in order to spread. Therefore, once this disease is detected, it must be treated promptly and properly, such as going to the dermatology department of a hospital to use methods like cryotherapy or laser. It may not be completely cured in one session and might require multiple treatments to fully resolve. Only after it is completely cured and the source of infection is eliminated, will it no longer spread to oneself or others around. It is important to maintain cleanliness and hygiene, and it is advisable not to keep small animals at home.

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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 Zhang Jing
Dermatology Department
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Can common warts be pricked with a needle?

Common warts should not be punctured with a needle. The cause of common warts is a viral infection; they are caused by a type of human papillomavirus and manifest pathologically with hyperkeratosis, incomplete keratinization, and papillomatous proliferation of the epidermis. They do not form a cystic structure. Puncturing them with a needle will not only increase the risk of bacterial infection but also has no therapeutic effect. If you have common warts, the most appropriate action is to visit a hospital for treatment with options such as laser cauterization, cryotherapy with liquid nitrogen, or surgical removal of the lesions. This can completely remove the warts. If there are many warts or they keep recurring, it is also advisable to consult a doctor to see if medication should be combined with the treatment.