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- Treatment

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Warts

Small, rough growth on the skin resembling a cauliflower or solid blister

Typically on human hands or feet - but also other locations.

Caused by a viral infection –by one of the ~ 130 types of human papillomavirus (HPV, only found in skin keratinocytes or mucus membranes E.g. of the genitals). Each type is typically only able to infect a few specific areas on the body.

–   Many low-risk types can produce a benign growth, often called a "wart" or "papilloma", in the area they infect - HPV types 1,2, 3, 4, 26, 29, 57 and others.

–   High-risk types can cause cancer - cervical (mostly Types 16 and 18), and also vulvar, vaginal, penile, anal, some oropharyngeal cancers caused by types 58, 33, 45, 31, 52, 35, 39, 59, and others.

Warts are contagious – the virus usually entering in broken skin.

Typically disappear after a few months - but can stay for years or reoccur.

At least 10 varieties of warts – here are some of the more well-known, listed at Wikipedia:

–   Common wart (Verruca vulgaris) - a raised wart with roughened surface, most common on hands, but can grow anywhere on the body; HPV types 2 and 4 (most common);

–   Flat wart (Verruca plana) - a small, smooth flattened wart, flesh-coloured, which can occur in large numbers; most common on the face, neck, hands, wrists and knees;

–   Filiform or digitate wart - a thread- or finger-like wart, most common on the face, especially near the eyelids and lips;

–   Genital wart (venereal wart, Condyloma acuminatum, Verruca acuminata) - a wart that occurs on the genitalia.

–   Mosaic wart - a group of tightly clustered plantar-type warts, commonly on the hands or soles of the feet;

–   Periungual wart - a cauliflower-like cluster of warts that occurs around the nails.

–    Plantar wart (verruca, Verruca plantaris) - a hard sometimes painful lump, often with multiple specks in the center; usually only found on pressure points on the soles of the feet; Commonly HPV type 1;

How to remove cutaneous warts with OTC products

Transdermal Ozone – powerful therapy to remove warts if you have an ozone generator. Alternatively use ozonated olive oil. Apply ozone once/day (20-30 mins) for a week or two.

Ozone Therapy

A review of 52 clinical trials of various cutaneous wart treatments concluded:

–   Best supported topical treatments contained salicylic acid (available OTC, similar to active ingredient in aspirin: acetylsalicylic acid) –with average cure rate of 75%, compared with 48% for the placebo in six placebo-controlled trials including a total of 376 participants. Involves cleaning the area, applying the acid, and removing the dead skin with a pumice stone or emery board over time.

Gibbs S, Harvey I, Sterling JC, Stark R (2003). Gibbs, Sam. ed. "Local treatments for cutaneous warts". Cochrane Database Syst Rev (3): CD001781. doi:10.1002/14651858.CD001781. PMID12917913.

–   Little evidence of a significant benefit of cryotherapy over salicylic acid or duct tape.

Gibbs S, Harvey I, Sterling JC, Stark R (2003). Gibbs, Sam. ed. "Local treatments for cutaneous warts". Cochrane Database Syst Rev (3): CD001781. doi:10.1002/14651858.CD001781. PMID12917913.

Silver nitrate – as a caustic pencil. In a placebo-controlled study of 70 patients, silver nitrate given over nine days resulted in clearance of all warts in 43% and improvement in warts in 26% one month after treatment compared to 11% and 14%, respectively, in the placebo group. The instructions must be followed to minimize staining of skin and clothing. Occasionally pigmented scars may develop.

Sterling, J. C.; Handfield-Jones, S.; Hudson, P. M.; British Association of Dermatologists (2001). "Guidelines for the management of cutaneous warts". British Journal of Dermatology 144 (1): 4–11. doi:10.1046/j.1365-2133.2001.04066.x.

Garlic – tape a small piece of garlic over the wart for about half an hour. Burns where the wart is. Repeat a few more times and they will turn and pieces of the wart willdrop off over the next few days.

Garlic pills! (Odorless) :)You can get them at almart/walgreens/cvs/pharmacy's.
Take one a day for about 2-3 weeks. You will notice the wart flaking off in about 7 days! Garlic is known to kill viruses. It gets into the blood stream and kills it by boosting the immune system.

ACV - Soak a cotton ball in ACV and tape it against the GW. Shouldn't burn. After a day it turns a greyish/whitish color and later . Continue applying acv on the warts after they turned for 4-5 days and they will begin to peel off

100% TCA Acid Kit – buy on ebay. Both TCA and BCA are caustic agents that destroy warts by chemical coagulation of proteins. Although these preparations are widely used, they have not been investigated thoroughly. TCA solutions have a low viscosity comparable with that of water and can spread rapidly if applied excessively; therefore, they can damage adjacent tissues. A small amount should be applied only to the warts and allowed to dry before the patient sits or stands, at which time a white frosting develops. If pain is intense, the acid can be neutralized with soap or sodium bicarbonate. If an excess amount of acid is applied, the treated area should be powdered with talc, sodium bicarbonate (i.e., baking soda), or liquid soap preparations to remove unreacted acid. This treatment can be repeated weekly, if necessary.

Cut off its air supply with New Skin (liquid bandage) - paint it on, leave for several days, rip it off and repaint. Cheap and painless, doesn't burn the surrounding skin.

Sea salt soaks - soak wart in a little cup of water with sea salt for about 5-10 minutes. Repeat each daynd within days it'll be gone.

Zinc oxide cream (for nappy rash) + Castor oil - apply three times a day. Warts are gone within a week.

Khattar JA, Musharrafieh UM, Tamim H, Hamadeh GN (April 2007). "Topical zinc oxide vs. salicylic acid-lactic acid combination in the treatment of warts". Int. J. Dermatol. 46 (4): 427–30. doi:10.1111/j.1365-4632.2006.03138.x. PMID17442091.

Wart may regrow after it has been removed.

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