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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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Last updated: 05/25/2018 9:32 AM,

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What WE DID WELL

(Answers:674)

EXCELLENT SERVICE, THANK YOU FOR YOUR ADVISE & ASSISTANCE. VERY CLEAN, NICE & CONFIRTABLE OFFICE SETTING. VERY KNOWLEDGEBLE DOCTOR. THANK YOU AGAIN. I WILL RECOMMEND YOU GUYS TO OTHERS. EXCELLENT JOB!!!

#12019-03-08

Everyone was very pleasant and I very much appreciated the fact that there was no waiting for either the medical assistant or the doctor. Thank you!

#22019-03-04

the doctor and the staff were excellent and very attentive.

#32018-06-20

Everything was great!

#42018-04-22

Dr. Ringpfiel was very attentive; she explained very clearly different treatments and their outcomes and gave me some alternatives I could choose from. I was extremely pleased by the Dr's professionalism, excellence, kindness and attention. Definitely one of the best services I have received! I am bringing my son in 3 weeks!

#52019-04-13

The service overall was excellent!

#62012-07-06 12:10:33

very informative about everything

#72019-02-21

Dr. Ringpfeil has a great bedside manner and is very patient. Loved the art work!

#82011-04-11 16:33:05

Loved everything! Thank you so much

#92019-03-19

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.

#102019-01-04

What can we do better?

(answers:373)

I was more than pleased with my first visit; a very warm and professional office

#12011-03-09 09:12:38

fantastic service

#22018-10-02

not sure yet

#32018-11-02

Please send out paperwork in advance for pediatric patients

#42018-12-05

Have an accessible examining table!!!

#52011-08-31 14:28:17

Can't think of anything, all was excellent.

#62011-05-03 10:51:30

NO COMMENT AT THIS TIME.

#72018-07-03

I am very satisfied with my experience at Ringpfeil Dermatology. I travel to get here and it is worth the drive!

#82010-10-21 14:58:02

My next appointment could not be scheduled for 6 weeks. I wish I could be seen sooner!

#92010-12-16 10:06:03

My only complaint is that I work and live (1 mile from) Center City, PA and I wish the office (Dr. Ringpfield) had weekend or later hours. Dr. Heckman was great but she cannot assist me with my cosmetic issues. Overall - like the office and professionalism.

#102011-08-10 18:44:27
Customer Rating : 4.8

Based on 4 ratings