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Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery

Written by Dr. Ringpfeil

Warts

Warts - Overview

Warts are benign tumors that can occur anywhere on the body but are most commonly found on hands and feet. The most common type of wart is asymptomatic; it is skin-colored and has a slightly raised rippled surface. Plantar warts on the soles of the feet often cause pain if they are near pressure points. If many plantar warts grow together, they are referred to as mosaic warts. Warts on the face tend to appear flat but may easily spread through shaving or waxing. Genital warts are skin-colored or brown and pose a significant health problem as some of the subtypes cause cervical cancer. Almost all warts are caused by the human papillomavirus (HPV), with many different subtypes being responsible for warts forming in various areas of the body. An individual can acquire warts from any object that harbors the virus such as dirty towels or shoes, but commonly people infect others through touch.

Warts - Diagnosis

In most instances, the diagnosis is made through recognition of characteristic features on physical examination. Rarely, a biopsy is needed especially if a cancerous transformation is suspected.

Warts - Treatment

Asymptomatic warts in non-genital areas do not need to be treated as the body will resolve them within 2-5 years. When warts are painful, bleeding, or even spreading, treatment is recommended. Unfortunately, there is no iron-clad treatment known to eradicate the human papillomavirus. Younger warts seem to respond to treatment faster than long-standing warts.

Most methodologies aim at triggering the body to recognize the root virus as a foreign object and resolve it with its own immune response. Treatment can be performed at home with keratolytic agents such as daily application of salicylic acid solution or tape, as well as duct tape. In addition, there are immune-system stimulating agents such as imiquimod or toxic agents such as podophyllin or glutaraldehyde.

If at-home treatments are ineffective, in-office treatments can booster the effects. They include monthly application of liquid nitrogen, podophyllin, cantharidin, trichloracetic acid, or pulsed dye laser. Rarely, chemotherapeutic or immune modifying substances are injected into the wart, or sensitization with DNCB or squaric acid is performed. Simple excision is as ineffective as any of the other methods yet may leave the virus behind in a scar, complicating treatment further. Therefore it has largely been abandoned for warts on hands and feet.

Coping with Warts

Fortunately, warts are fairly inconspicuous and most people will not notice them even while in public. Warts on the feet are usually concealed by shoes and even warts on the hand are not large enough to draw attention. Seeking immediate treatment can eliminate the wart in as little as two weeks. Genital warts often pose a strain on any relationship. Recurrences of warts are common as the human papillomavirus is not always eliminated at the time of clinical resolution of warts.

Warts - Prevention

Since the wart is caused by a virus, eliminating sources will prevent contracting the disease. Also, if a wart is spotted, avoid frequent touching or picking because the virus can shed from the skin and then pass to surrounding skin or other people. Open wounds and moist skin promote the contraction of the virus. So bandage all wounds and avoid wearing wet socks. Since the virus is most commonly transmitted from person to person, wearing sandals in public locker rooms decreases the risk of contracting plantar warts. Condoms should be used if genital warts are present.

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SKIN

# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
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poor
0.03%
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
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The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
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very poor
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Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
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Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
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What WE DID WELL

(Answers:674)

That I was seen by the doctor and did not feel rushed.

#12024-04-28

The staff was wonderful. They were knowledgeable, professional and personable. The office beautiful, even the music was great.

#22024-04-04

Definitely the best overall dermatology practice I've seen (I've seen a lot). Very well run and obviously the Dr. is extremely expert and knowledgeable.

#32011-06-09 11:41:32

The office is really nice. The lobby is really nice and the doctor knows what she is doing..

#42024-04-20

The overall feel of the office is excellent and comfortable.

#52024-01-02

The service was great!

#62023-06-17

After meeting the doctor I felt very comfortable. When I first came in I was very nervous

#72023-10-28

Pleasant staff

#82023-10-18

The service overall was excellent!

#92012-07-06 12:10:33

Punctuality - Perfect Sense of humor of staff

#102023-11-05

What can we do better?

(answers:373)

fantastic service

#12023-10-03

Your rain spouts put water into the driveway to the back parking lot. As it gets colder, it will freeze and create a dangerous pathway for clients

#22010-12-13 11:23:03

Get some better parking spaces

#32023-09-12

Later evening hours and/or weekend hours.

#42011-05-27 15:59:15

The lock on the door of the unisex bathroom is a little challenging in that you don't know whether it is locked or not. This was a little unnerving.

#52010-10-28 10:21:25

Just continue to be as thorough and caring as my experience today. Quite like a breath of fresh air!

#62024-03-16

Everything was perfect today

#72010-10-05 10:42:21

Maybe some more magazines for the guys. I`ll bring a few in...

#82023-11-08

it was a little warm in the waiting area

#92023-07-08

more than adequate service!

#102023-07-26

Customer Rating : 4.6

Based on 537 ratings
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