Warts are benign skin hyperplasia caused by the Human Papilloma Virus (HPV). Over 70 types of HPV viruses are responsible for these lesions and each type is responsible for the appearance of warts on a specific part of the body. The warts are also known as verruca or beetle warts or carnivorous.
They are transmitted by simple contact with infected persons or objects, often at sites with minor skin continuity lesions, abrasions or other minor injuries, and can be transmitted from one part of the body to another after contact with the infected area. Therefore, the human papilloma virus (HPV) that causes warts can be transmitted by shaking hands or contact with infected objects. This is because the virus can live for several days outside the human body and therefore the possibility of transmission is increased.
It is quite common for the virus to be transmitted when swimming in a swimming pool, as HPV viruses are resistant to the chlorine contained in these pools. This, combined with the habit of people walking barefoot in such environments, leads to a high probability of infection.
Often warts are transmitted to oneself by inoculation at sites of injury. For example, warts that form in the palm area can lead to warts on the face or any other spot due to frequent contact of these areas with the hands.
The diagnosis of warts should be made exclusively by a dermatologist, who is the only expert for the correct diagnosis and choice of treatment. Usually, their diagnosis is not difficult and is done clinically and epidemiologically. Rarely, a biopsy may be needed, especially when they look like epitheliomas or skin carcinomas in adults.
Also, when a wart is found in the genital area it should be differentiated from genital warts and this can only be done by HPV - DNA Test.
Plantar warts appear as a clearly excoriated circular lesion with a rough supra-vertebral surface. They are skin-colored, and if the thick coating is removed, black spots are seen which are pathognomonic for the disease. Plantar warts usually develop at the sites of greatest pressure on the foot.
In women, plantar warts prefer the anterior part under the toes. In some cases, plantar warts may flock together creating plaques with a "mosaic" appearance.
Plantar warts are usually extremely painful if not treated and cause difficulty and severe pain when walking. Due to the pressure from walking they usually do not develop in the form of bumps but in the form of hard nodules. A differential diagnosis must therefore be made in the case of a foot wart from a possible foot callus.
It is the most common location of warts. Palmer warts are very common. They can be located on the palm or even the back of the hands. Often hand warts are located around the nails so they are called periungual warts.
Palmer warts are a common manifestation of children who can touch infected objects with their hands and do not yet have a strong immune system to protect them. Toe warts often occur in people who, because of their work, have frequent contact with water, e.g. housewives, hairdressers. Palmer or Periungual warts often experienced by these people cause severe discomfort and pain that makes it difficult for them to work.
A finger wart can occur either around the nails or on the palmar surface. Often finger warts are also found between the fingers with severe pain or even bleeding. Due to the prolonged wetting of the skin, it becomes more vulnerable and palmer/periungual warts develop.
The face is a frequent manifestation of warts. Face warts usually occur in children and are mostly asymptomatic. Facial warts are smooth and flat and often multiply due to scratching.
Facial warts are often an aesthetic problem for the patient. Special care is required by the dermatologist to properly diagnose and treat facial warts and to distinguish them from possible hyperplasias and nevi.
These warts are similar to the well-known genital warts but they might not have been transmitted through sexual intercourse, but through transmission from hand warts.
Although in some cases warts can disappear on their own, the virus is highly contagious, and following the rules below is essential for prevention:
At Cosmetic Derma Medicine, the treatment of warts is mainly done with CO2 Laser, as it completely destroys the lesion, even in a single session, with the lowest recurrence rates. The advantages of CO2 Laser treatment are:
After laser warts treatment, the patient should not wet the area for twenty-four hours. It is recommended to use a topical antibiotic cream at the site of removal for 5 days.
In case of foot wart, we recommend avoiding standing for 3-4 days and we suggest placing the foot in an immobile position for the first 24 hours after treating a large foot wart.
Cosmetic Derma Medicine Medical Group is the largest and most specialized medical group in the field of Dermatology and Plastic Surgery, with 16 clinics in Greece and Cyprus.
Thanks to the latest generation of equipment, it is possible to treat warts with CO2 Laser, Cryotherapy, Cryotherapy, Transfusion or Surgical treatment. The high rates of successful treatment of warts in a single visit prove the effectiveness of the use of CO2 Laser, in combination with the specialized medical staff of Cosmetic Derma Medicine.
The Dermatology Department and Plastic Surgery Department of the clinic, headed by the Dermatologist & Venereologist Dr. Amalia Tsiatoura and the Plastic Surgeon Dr. Anastasios Vekris, provide the full range of treatment for even the most challenging cases of warts. Our medical team is at the patient's side 24/7 for whatever is needed.
You can send us your request by phone or e-mail and we will get back to you the soonest possible with more information on our top quality services on Dermatology and Plastic Surgery, all at your disposal at Cosmetic Derma Medicine!