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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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Office comfort

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What WE DID WELL

(Answers:674)

Dr. Ringpfeil was my second opinion and I felt much more at ease with the time she took to understand my issues and explanation for solutions.

#12011-01-04 09:06:32

The full explanation of my possible condition and the best line of treatment.

#22010-12-16 12:26:48

Friendliness of everyone.

#32019-05-18

My visit was very professional. I walked in and was assisted with emmediately. I am very happy with the service that was given to me today. I will gladly return.

#42018-09-19

Dr. was very informative. Everyone was very nice. Please give all the ladies here a raise..

#52018-11-18

The staff was thorough and extremely friendly, I felt welcomed and well informed.

#62011-12-01 14:56:48

professional staff

#72010-12-02 11:39:52

the service, and the timely manner i was seen

#82011-03-29 10:26:45

I liked the staff, the office, decor, music and the overall atmosphere. I felt comfortable. I will definitely recommened this practice in the future.

#92019-03-11

The frankness of the doctor

#102018-12-05

What can we do better?

(answers:373)

Everything was great! The only thing I would say is when I called to make an appointment for sun spot treatment to let me know that I should limit my sun exposure and wear sunblock.

#12011-05-05 13:30:08

If you continue the same level of care that I received today, I will be thrilled.

#22019-04-24

If it's not broke don't fix it...everything was handled very well

#32019-03-08

Its hard to find anything that you guys didn't do correct. Keep up the good work

#42011-08-03 11:52:57

it was a little warm in the waiting area

#52018-08-26

Everything to date that your office has performed has been done professionally and expeditiously. It's a pleasure to deal with all the staff.

#62018-06-26

I was very pleased!!

#72018-08-13

receptionist should not be so quick to refuse insurance before fully understanding the the type of insurance and how it functions

#82011-09-14 09:34:31

smile more

#92010-09-09 10:34:11

You guys did great. This was a great experience for me

#102010-09-22 12:31:41
Customer Rating : 4.8

Based on 4 ratings