Wart fell off what to do

Warts

Brief overview

  • Types of warts: Common warts, brush warts, plantar warts, flat warts, "false" warts (dellized warts, age warts, pedunculate warts)
  • Causes: Real warts are usually caused by the human papilloma virus (HPV). The molluscum contagiosum virus is responsible for warts. The exact cause of the age and stem warts is unknown.
  • Risk factors: including skin wounds, weakened immune system, circulatory disorders, tendency to allergies (atopy) or existing atopic diseases (such as neurodermatitis), emotional conflicts and stress
  • Treatment options: including freezing (cryotherapy), acid treatment (e.g. as a plaster or ointment containing active substances), "burning" with electric current (electrocoagulation), laser treatment, ablation with a medical instrument (curette, sharp spoon, scalpel, etc.)
  • Forecast: Warts are usually harmless and often go away on their own (but often only after months or years). The relapse rate, however, is high, whether with or without treatment.

Types of warts

Are warts (verrucae) small, sharply demarcated growths (tumors) of the epidermis. They are triggered by viruses, in the vast majority of cases by Human papilloma viruses (HPV). Warts occur particularly often in children and adolescents. In principle, however, you can get verrucae at any age.

There are different types of HPV. Depending on which virus type is responsible for the infection and where it settles, different types of warts develop morphologically. There are also some skin lesions that look like warts but are of different origins. The following is a description of the most important real and fake warts and treatment options (general information about wart treatment can be found below):

Common warts (Verrucae vulgares)

Common or common warts are the most common form of viral warts. Other names are vulgar wart, skin wart or spiky wart. These skin nodules can grow all over the body form. The most common are such warts on the hand or on the foot. In many cases, a wart on the finger is located near the edge of the nail (periungual).

Most often are common warts The size of a pinhead to a pea. Your initially smooth surface becomes with increasing growth fissured and horny. In addition, the skin growths that are initially skin-colored gradually take on one dirty yellow color at. they kick sometimes individually (solitary) on. However, one observes them often in larger numbers.

Usually cause Verrucae vulgares no pressure pain and no itching. If you don't want to wait for the skin nodules to heal on their own, you can try various options for treating warts. Above all, this includes Icing over (with liquid nitrogen) and one Acid treatment (e.g. with salicylic acid). Occasionally, other methods, such as one, are used Laser therapy.

Brush warts (Verrucae filiformes)

It is a special form of common warts with a long, thread-like stem. They form especially in the elderly on the face (on eyelids, lips, nose) or On neck. Occasionallyitch you. In addition, brush warts can be irritated or injured when washing, drying or shaving. Above all, however, the thread-like or prickly-looking warts on the face are often perceived as cosmetically disturbing. That is why many sufferers have them removed by the doctor, for example through Icing over (Cryotherapy), one Acid treatment or by means of Laser treatment.

Warts - how to get rid of them

  • Fight the warts!

    Most people have warts at least once in a lifetime. These are unsightly, but mostly benign skin growths. They are caused by viruses that penetrate the skin through small wounds and stimulate uncontrolled cell reproduction. If you want to get rid of the annoying beasts, you are spoiled for choice, because there are a number of methods for doing this. Which? You can find out here.
  • With acid to the goal

    Acids can effectively remove warts by gradually dissolving the horny layer. But you need patience: In order to achieve a good result, you have to apply the acid to the wart every day for several weeks. In addition, the loosened skin layer must be regularly removed with a file or a plane. Salicylic acid is used particularly often - be it as a cream, solution or plaster - but sometimes also lactic acid or vitamin A acid.
  • Cold against wart

    Another common method to make warts cook is freezing. Here, liquid nitrogen is applied to the diseased skin area. Evaporation creates extreme cold that destroys the top layer of skin. But even here a single application is not enough. And side effects can occur: Often the skin reddens and swells after freezing. Sometimes a small bubble forms, but it heals quickly.
  • Stop viruses!

    In addition to these two established methods, there are a few other wart remedies. So far, however, there is no clear evidence that these are effective. But it's worth a try! Special ointments and solutions with active ingredients that inhibit cell growth or the viruses themselves should help. Sometimes drugs are injected directly into the wart to stimulate the immune system.
  • Light in action

    Photodynamic therapy is also said to help against warts. A special gel is applied to the affected area of ​​the skin. After three hours of exposure, the area is irradiated with light. Certain ingredients of the gel are activated by this and are supposed to destroy the wart tissue. But heat can also help. During laser treatment, the wart is heated to such an extent that the diseased cells are destroyed. The disadvantage: unsightly scars can remain.
  • Removal yes, cutting out no

    Warts that have been pretreated with acid can also be removed with special tools called curettages. However, it is unusual nowadays to cut out the warts. This is because infections can easily occur and unsightly scars can remain.
  • Recurring evil

    Even if the treatment was successful and the wart is gone, new ones can always appear. Because there are always a few viruses or infected skin cells left in the tissue. These can cause new warts at a later date, especially if the immune system is weakened.
  • Prevent warts

    Warts are contagious. Upon contact with the infected skin, the viruses can spread to other people as well as to previously healthy parts of the body and cause the annoying skin growths. Bathing shoes and fresh socks are required. You should also be careful not to touch warts - if possible not even your own.
  • Of
    Medical editor and biologist

Plantar warts (Verrucae plantares)

In contrast to common warts, plantar warts are not raised, hemispherical skin growths. Instead, plantar warts are pushed inwards. This is because they usually form on the soles of the feet: The weight of the body on them pushes the warts inward into the subcutaneous tissue. Also, unlike common warts, plantar warts are mostly quite painful. Every step can be uncomfortable for those affected.

You can get plantar warts if you are at To run barefoot infected with the causative virus (HPV) in the swimming pool, gym or communal shower. To get rid of them again, one can use a salicylic acid patch stick on. It softens the horny layer so that it can be easily abraded in a warm foot bath. Another therapy option is to treat the plantar warts freeze (Cryotherapy). But you can also use electricity "burn" (Electrocoagulation) or with a special medical instrument ("sharp spoon") remove.

You can read more about the appearance and treatment of painful plantar warts in the article Plantar warts.

Flat warts (Verrucae planae juveniles)

If the warts on the face or hands are not raised, they are probably so-called flat warts or planar warts. Occasionally, this type of wart forms on other parts of the body. Flat warts are most commonly seen in children and adolescents. So you will too juvenile warts called.

As with other real warts, this type of wart is triggered by human papilloma viruses. A weakened immune system can encourage infection with these viruses. Children in particular often scratch their flat warts. Then you can move along the Scratch mark New flat warts form because the viruses are distributed with the nails.

Flat warts are harmless and often go away on their own. If you don't want to wait for it or if you have severe and flat warts, you should talk to your doctor about treatment options. For example, you can have flat warts Dissolve with vitamin A acid or salicylic acid (possibly in combination with UV radiation). Besides, you can freeze (Cryotherapy) or with electric current "burn" (Electrocoagulation). Sometimes they are also performed with a special surgical instrument (curette) removed or by means of Laser therapy away.

You can read more about this in the article Flat warts.

Dellular warts (Mollusca contagiosa)

Are dellar warts no real warts - despite their name and similar appearance. This is because they are not caused by human papilloma viruses. Instead it is Molluscum contagiosum virus the cause of these wart-like, harmless skin nodules.

Mostly dellar warts occur in groups on one or two areas of skin. In some people, however, they are also found loosely over the body. Most common in adults is the Genital region infested with warts. In contrast, other parts of the body are often affected in children, for example Face, neck, or armpits.

Inside them contain dellar warts infectious secretion. If you come into contact with it, you can get infected quite easily (Smear infection). This is especially true if your own skin is softened (for example when going to a swimming pool or sauna). Then the triggering viruses can penetrate the skin more easily. Wounds, fungal infections of the skin and neurodermatitis also favor infection with the wart pathogens.

Most of the time, dellar warts disappear on their own. But they can also last for years. Similar to flat warts, they can be used with Salicylic acid or vitamin A acid remove. But you can also ablate with a surgical instrument. There is also the possibility of Irritation treatment: Applying an irritating liquid to the skin around the dellar warts becomes inflamed. This should help them heal faster.

You can read more on the subject in the article Dell warts.

Age warts (seborrheic keratosis)

Age warts (senile warts) are also no real wartseven if they are similar to these. Its cause is unknown. We do know, however, that they are not caused by viruses - neither HPV nor any other type of virus. Age warts are therefore also non-infectious.

The name of these wart-like skin nodules comes from the fact that they are especially in old age occur. They tend to form on the face, chest and back, on the back of the hands and the front of the arms and legs. Their appearance is very variable. That is why doctors differentiate different forms of age warts, for example stalked age warts and stucco keratoses.

Because age warts are harmless and usually do not cause any discomfort, they usually do not necessarily have to be removed. If you still want to get rid of them, you should consult a doctor (as with other warts): You can get old warts ablate with a surgical instrument (Curette, sharp spoon, scalpel) or Eliminate by laser. Pedunculated warts can be one electric loop remove.

You can read everything you need to know about these widespread, harmless skin growths in the post age warts.

Pedunculate warts (fibroids)

Pedunculate warts are also no real warts. Rather, they are soft, benign growths of certain skin cells. Your medically correct name is soft fibroids.

Pretty much everyone gets it sooner or later small, stalked, skin-colored skin tags. We do not know why this is so. However, since pedunculate warts occur more frequently in some families, experts suspect a genetic predisposition.

Like age warts, pedunculate warts are also harmless and not contagious. But they can be cosmetically disruptive. Sometimes they are also mechanically disruptive. With stem warts in the neck area, for example, thin necklaces or fine silk scarves can get caught on them. In such cases, those affected can have their pedunculate warts removed by the doctor - by means of laser, electric current (Electrocoagulation) or using a surgical scissors.

You can find out more about these stalked skin appendages in the article pedunculate warts.

Warts: causes and risk factors

Real warts will be through in most of the cases Human papilloma viruses (HPV): The pathogens penetrate through small injuries and cracks in skin cells and trigger an uncontrolled cell proliferation there. The intruders force the human host cells to produce more viruses.

The pathogens are different types of HPV. Common (vulgar) warts, for example, are mostly caused by HPV types 1, 2, 4 and 7. Mainly HPV types 1, 2 and 4 can also be detected in plantar warts. In contrast, flat warts (Verrucae planae juveniles) are generally caused by HPV type 3.

By the way: Certain types of human papilloma viruses are involved in the development of several cancers (such as cervical cancer and penile cancer). However, these are not the types of virus that are responsible for conventional verrucae. Caution is only advised with the so-called genital or genital warts (condylomata).

False warts are not caused by HPV: For Dellar warts viruses of the Molluscum contagiosum type are responsible. At Age warts the cause is unknown. The same applies to Pedunculate warts.

Risk factors for warts

Various factors can promote the formation of verrucae - especially the most common form, verrucae vulgares. These risk factors include increased sweating (Hyperhidrosis), one impaired blood circulation in fingers and toes (acrocyanosis) and a weakened immune system. Even people with one Tendency to allergies (Atopy) or an already existing one atopic disease (like neurodermatitis) are particularly susceptible.

Emotional conflicts and stress also seem to increase the risk of the disease. Affected adults are also often Smoker.

Are Warts Contagious?

Virus warts are contagious (infectious): The viruses are transmitted directly from person to person, sometimes indirectly via towels or razors. Four weeks to eight months can pass between the infection and the appearance of the first verrucae (incubation period).

It is particularly easy to get infected with wart viruses if they Skin injured is. It also has a beneficial effect damp or soggy skin out. This is why it is particularly easy to get infected in the swimming pool, sauna and communal showers, for example. Also at risk are people who have frequent contact with the causative virus or affected people (such as children).

Someone who already has the small skin growths can further infect themselves (Autoinoculation). This is how the verrucae can spread on the body: The viruses are transmitted to neighboring or distant parts of the body, for example by scratching the skin nodules, where they can also settle.

"Fake" warts that are not caused by viruses (age warts and pedunculate warts) are not contagious.

Warts: examinations and diagnosis

Verrucae are usually harmless. A doctor's visit is only necessary if the small skin tumors are cosmetically annoying and need to be removed or if they occur in the genital area. You should definitely go to the doctor, if

  • a wart is bleeding or inflamed,
  • Warts or warts develop on other skin diseases (such as neurodermatitis)
  • Dell warts spread quickly.

Age warts may be confused with skin cancer. So if you are not sure that wart-like skin nodules are actually harmless old age warts, you should also see a doctor.

Diagnosis is usually simple

Diagnosing verrucae is generally not difficult for a doctor. He can usually recognize the small, benign skin tumors by their appearance.In addition, the shape, structure and location of the growths in most cases also provide information about the type of wart.

However, if the doctor is not entirely sure, he can get one of the skin nodules Tissue sample can be removed and examined in the laboratory for tissue analysis (histological). In individual cases, attempts are also made to detect the pathogen (human papilloma viruses) in the sample.

Read more about the examinations

Find out here which examinations can be useful for this disease:

Warts: treatment

Most warts are uncomfortable and will go away on their own sooner or later. There is then no medical reason why the warts should be removed.

However, if you find the small skin growths cosmetically annoying, you should discuss with a doctor how your warts can be removed. The same applies to warts that cause discomfort, such as plantar warts on the soles of the feet, which make walking very painful.

How can you remove warts?

“What helps against warts?” With this question, many affected people turn to their pharmacist or doctor. The answer is, there are different methods and remedies for warts. Which strategy makes the most sense in individual cases depends, for example, on the type and number of warts and their location.

Dissolving the horny layer

Various acids can remove warts by dissolving their horny layer. Mostly it will Salicylic acid used, sometimes another acid like Lactic acid. If you want to remove flat warts on the face, this usually comes Vitamin A acid for use. The acids are as a solution, cream or plaster available in pharmacies - usually without a prescription.

Read the package insert before using for the first time. There you will find exactly how the product in question is to be used. Generally, a solution or cream needs to be applied to the warts several times a day for several weeks. A patch is worn for a few days (possibly with repetition).

The cornified skin layers dissolve under the action of acid. You need to carefully remove them regularly, such as with a file or one Callous planer. Make sure that the surrounding areas of skin are not injured and that the wart viruses are not transmitted there. Otherwise new warts will appear on these injuries.

Freezing warts (cryotherapy)

The doctor can freeze warts by being careful liquid nitrogen applies. When it evaporates, extreme cold occurs, which destroys the top layer of skin. The icing must repeated several times this is the only way to finally remove the warts. Must be between meetings at least a week pass away.

Applying the liquid nitrogen can trigger brief, sharp pain from the cold. As a result, the skin usually turns red and swells a little. A blister can also form. It usually takes several days for the crusted warts to heal. If cryotherapy is performed with caution, no scar will be left behind.

The removal of warts by means of icing is not in all cases allowed. The method is not suitable, for example, for people with a diabetic foot or with “intermittent claudication” (peripheral arterial occlusive disease, PAD). The freezing of warts on the foot can additionally disturb the already poor blood circulation, damage the nerves and cause wounds that do not heal well. Cryotherapy is also unsuitable for removing a wart in Raynaud's syndrome (reduced blood flow to fingers and toes due to the disease).

You don't have to go to a doctor to use cold to remove warts. Pharmacies now offer over-the-counter icing pens for self-treatment at home. However, these are less cold than the liquid nitrogen that the doctor can apply. In addition, the effectiveness of such icing pens has not yet been scientifically proven.

Removing warts: other methods

There are other remedies for warts as well. So far, however, there has been no clear evidence that they really help or work better than acids or icing.

So should special ointments and solutions with active ingredients that inhibit cell growth (5-fluorouracil) or the viruses (acyclovir etc.), can also remove warts. Sometimes different drugs are also called syringe given directly into the warts, for example 5-fluorouracil or substances that affect the immune system (interferons).

In addition, the curettage Remove warts: The skin nodules are scraped off with a special medical instrument (curette). Before that, they are often pretreated with acid.

Some people have their warts lasered, so with one laser heat up strongly and destroy.

In the Photodynamic therapy a special gel is applied to the wart. Leave it on for about three hours and then irradiate the wart with light. This activates certain ingredients in the gel and destroys the skin tumor.

The old way Cut out warts, is only used very rarely today. This can lead to infections and cosmetically annoying scarring.

Home remedies for warts

Various medicinal plants are said to be very helpful if you want to remove warts. So should the Milky juice of celandine remove the small skin tumors if you dab them several times a day. You can do the same with the Milky sap of the dandelion or one Solution from the foot leaf root Treat warts. This should also be able to remove the small skin nodules.

In many cases, naturopaths also rely on the anti-viral power of when treating warts Tea tree oil. It is applied to the wart in a diluted form several times a day. Could also be effective against wart virus garlic Be: By taking a high-dose garlic preparation, warts should also be removed.

Read more about the therapies

Read more about therapies that can help here:

Warts: course and prognosis

Warts are generally harmless. As soon as the body successfully combats the virus that caused it, it disappears on its own. However, this can take weeks to months. Studies on affected schoolchildren and adolescents showed that about fifty percent were wart-free again after one year and about seventy percent after two years. There are no comparable studies in adults.

How quickly the small skin growths disappear in individual cases depends on various factors. For example, the virus and wart type and the state of the immune system play a role. Verrucae can be very persistent in people with weakened body defenses.

If warts have healed at some point - with or without treatment - you will not be immune to it in the future. On the contrary: the relapse rate (recurrence rate) is high.

Prevention tips

Some measures can possibly prevent you from becoming infected with affected people or, in turn, from transmitting the virus to other people:

  • Do not share towels, shoes, and socks with other people.
  • Do not walk barefoot in swimming pools, communal showers, gyms, and locker rooms.
  • Cover existing warts with a waterproof patch before swimming.
  • Do not touch the verrucae.

Also, you should avoid looking at it Warts to scratch. Otherwise you can transmit the viruses contained in it to other parts of your body or to other people.

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