$Unique_ID{PAR00181} $Pretitle{} $Title{Medical Advice: Warts} $Subtitle{} $Author{ Editors of Consumer Guide Chasnoff, Ira J} $Subject{Warts Rough raised growths skin virus viruses viral infection spread scratching Plantar wart foot feet cuticle cuticles fingernail nails eyelid eyelids face callus mosaic warts acid acids podophyllin liquid nitrogen solid carbon dioxide phenol electric cauterization cauterizing curet curetting} $Log{} Your Child: A Medical Guide Warts Quick Reference SYMPTOM - Rough, raised growths anywhere on the skin HOME CARE - As a rule, leave warts alone. - With the approval of your doctor, you can use an appropriate commercial product to safely remove most warts other than those on the eyelids or face. PRECAUTIONS - No treatment is successful in all cases, and warts may spread during treatment or recur afterward. - At home, do not treat warts on the eyelids or face or warts that involve the cuticles or extend under the nails. - If the surrounding skin becomes red or painful, discontinue home treatment. - Most warts are harmless unless they are annoying, bleed often, or become infected. A wart is a growth on the skin caused by a specific virus. Although warts may differ in appearance, they are caused by the same type of virus. Warts can be spread by direct contact or by scratching. Plantar warts, which appear on the soles of the feet, can be contracted by walking barefoot where someone who has them recently walked. In most cases, warts disappear spontaneously within two or three years; in almost all cases, they are gone within ten years. Still, some warts must be treated. Plantar warts usually require treatment because they cause pain. Warts that extend under the nails may produce permanent deformities if they are not treated. Warts on the face and eyelids are removed for cosmetic reasons. Most other warts are harmless and can be ignored unless they are annoying, bleed frequently, or become infected. SIGNS AND SYMPTOMS The common wart is a rough, raised growth that ranges in size from one-eighth inch to one inch in diameter and occurs anywhere on the skin. A juvenile wart is a small (one-sixteenth to one-fourth inch in diameter), smooth, pinkish wart that is common on the hands. Plantar warts may be pressed into the foot (sometimes to a depth of a quarter-inch or more) and are often surrounded by a callus. Groups of plantar warts are known as mosaic warts. Many warts are unmistakable, but some are not. When they are tiny, plantar warts may be mistaken for small brown splinters on the sole of the foot. Also, you may not be able to see them if they are surrounded by a callus. HOME CARE As a rule, leave warts alone. If they have to be removed, it is safest to have a doctor do it or instruct you in the use of an appropriate medication. Usually, treatment must continue for many days or weeks. PRECAUTIONS - If excessive pain or redness occurs on the surrounding skin, stop treatment. - Do not treat any warts on the face or eyelids at home. - Warts that involve the cuticles or that extend under the nails should not be treated at home. MEDICAL TREATMENT No treatment is successful in all cases. Treatment may even spread warts, or they may recur after treatment. In general, your doctor will remove warts by application of acids, podophyllin, liquid nitrogen, solid carbon dioxide, or phenol or by electric cauterization (burning away) or curetting (surgical removal). RELATED TOPIC: Viral infections