Understanding Warts and Verrucas

A Comprehensive Guide to Viral Skin Growths

Dermatology

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Last updated: Mar 24, 2025

What Are Warts and Verrucas?

Warts and verrucas are common skin growths caused by the Human Papillomavirus (HPV). While warts can appear anywhere on the body, verrucas specifically occur on the feet.

Types of Warts

  • Common warts (Verruca vulgaris): Rough, raised growths typically on hands and fingers
  • Plantar warts (Verrucas): Appear on feet's pressure points
  • Flat warts: Small, smooth growths often on face and legs
  • Genital warts: Sexually transmitted variant requiring specific treatment

Causes and Transmission

  • Caused by HPV infection
  • Spread through direct contact
  • More common in:
    • Children and teenagers
    • People with weakened immune systems
    • Those with cuts or damaged skin

Symptoms

  • Rough, raised bumps
  • May have black dots (tiny blood vessels)
  • Can be painful, especially verrucas
  • May appear alone or in clusters

Treatment Options

Over-the-Counter Treatments

  • Salicylic acid preparations
  • Freezing treatments (cryotherapy kits)

Professional Treatments

  • Cryotherapy with liquid nitrogen
  • Laser therapy
  • Surgical removal
  • Prescription medications

Prevention

  1. Avoid walking barefoot in public areas
  2. Don't share personal items
  3. Keep feet dry
  4. Avoid touching warts directly
  5. Cover warts when swimming

When to See a Doctor

  • If treatments aren't working
  • For painful or spreading warts
  • If you're unsure about diagnosis
  • If you have diabetes or immune system problems

Important Notes

  • Most warts clear naturally within 2 years
  • Treatment can prevent spread
  • Some warts may recur after treatment
  • Different types may need different approaches

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