Warts

Warts are persistent growths that can't be completely eliminated by treatments alone. The patient's own immune system must ultimately "cure" the wart by fighting off the underlying virus. Our role is to stimulate the immune system, helping it to recognize and attack the virus, and support the body in removing the wart.

Warts are commonly seen in children, as their developing immune system makes them more susceptible. Adults should be aware that warts can be transmitted sexually, making prompt diagnosis and treatment important for protecting oneself and others.

Treatment requires a systematic approach, as warts can be challenging to clear. We typically recommend multiple rounds of treatment, spaced about 4 weeks apart, to:

  • Help the immune system recognize and fight the virus

  • Minimize side effects like scarring and discoloration

  • Clear the condition in the fewest number of treatments possible

Causes

Warts are caused by the HPV virus, which enters the body through cuts or scratches on the skin. The virus can be spread through:

  • Direct contact with an infected person

  • Indirect contact with contaminated surfaces or objects

  • Underdeveloped immune system (common in children).

  • Skin-to-skin contact (can be sexually transmitted in adults)

Symptoms

  • Small, rough, or smooth growths on the skin

  • May be painful or itchy

  • Can appear as a single wart or in clusters

Treatments

1. Salicylic acid: Over-the-counter treatments that dissolve the keratin protein that makes up the wart.

2. Cryotherapy: Freezing the wart with liquid nitrogen to remove it.

3. Cantharidin: A blistering agent applied to the wart to stimulate the immune system.

4. Imiquimod cream: Stimulates the immune system to fight the virus.

5. Surgical removal: Excision or shave excision for larger or persistent warts.

6. Laser therapy: Targeted heat treatment to remove the wart.