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Written by Dr. Ringpfeil

Warts

Warts - Overview

Warts are benign tumors that can occur anywhere on the body but are most common on hands and feet. The common 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 near pressure points. If many plantar warts grow together, they are referred to as a mosaic wart. 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 papilloma virus (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 human papilloma virus. Younger warts seem to respond to treatment faster than long standing warts. Most methodologies aim at triggering the body to recognize the causative 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 salicyclic 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 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 human papilloma virus 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 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: 3767
Last updated: 01/21/2019 6:59 PM

PATIENT RATINGS

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definitely
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probably
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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
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

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

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very 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
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
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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%
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What WE DID WELL

(Answers:674)

Andrea was very responsive to my original request to be seen, and you provided a very quick appointment even though I was not a patient. As an architect, I especially appreciate the attention to detail in how you have retrofitted the office.

#12019-11-08

Attention by all staff.

#22019-07-06

I was very happy to be able to get an appointment so quickly. The doctor was very thorough.Also, now I know what do do the next time my problem reappears and know that it can be taken care of.

#32019-12-23

Friendliness and professionalism

#42019-04-08

Dr very friendly and made me comfortable.

#52019-02-01

Everyone was so pleasant,and nice.

#62019-11-14

The reassurance that my concerns were addressed.

#72010-11-09 11:24:08

Everyone was extremely welcoming, pleasant and professional. I felt very secure with the knowledge and professional, caring treatment by both the doctor and her assistant.

#82020-01-08

ambiance, music and moood of office was upbeat yet happily calm today!

#92019-01-29

the doctor and assistant were very nice and the doctor very inormative and clear

#102019-04-19

What can we do better?

(answers:373)

I cannot think of a thing that would make the visit any better.

#12010-11-03 15:36:43

please change the paintings in the reception area....

#22011-02-02 11:01:42

Excellent, no improvement needed.

#32019-03-21

Everything was excellent.

#42019-09-17

Can't imagine any better first impression.

#52011-02-24 14:49:37

Everything was delightfully pleasant and comforting.

#62011-03-28 09:42:42

keep doing what u doing keep up the good work!!!!

#72019-07-29

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.

#82010-10-28 10:21:25

Please consider offering more appointments after 5pm since it can be a challenge to take time off from work.

#92019-08-21

I really am not sure how you could improve. The visit was actually relaxing.

#102019-11-24
Customer Rating : 4.5

Based on 122 ratings