Viral Wart

Warts are common viral infections caused by the human papilloma virus (HPV). There are different strains which affect certain predominant sites.

Warts can go away spontaneously in about 60 % of patients within about 2 years. However, during that time it is contagious and can spread.

Viral wart

Treatments available in the clinic include:

Over the counter

  • Topical salicylic acid via liquid or ointment, pads and tape

Prescription

  • Off label use of topical retinoids, imiquimod cream (labelled for use in genital and perianal region from 12 years old and above), 5-fluorouracil cream to flat warts or warts on cosmetically sensitive areas

Destructive “in office” treatments

  • Paring and cryotherapy (or liquid nitrogen) every one to two weeks
  • Cantharidin (derived from the Blister beetle)
  • Electrosurgery (if more superficial)
  • Carbon dioxide laser (if deeper, especially over thicker areas of the soles)
  • Pulsed dye laser (although more costly form of treatment, can be more effective especially for stubborn warts in teenagers. adults and immunocompromised pateints)