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There are many types of warts (a verruca is just one of the common varieties around). Here’s all the advice you need to recognise which type of wart you may have & how to manage it from the get-go


What are warts?


Warts are benign (non-cancerous) lumps on the skin. They can develop anywhere on your body, but are most frequently found on the palms, knuckles, knees and fingers. They're more common in children and teenagers than in adults, and are caused by the human papilloma virus (HPV). This virus makes your skin produce more keratin, a chemical that causes skin to harden, which then becomes a wart.


Here are some tips to help you recognise the various types of warts:


Common warts 


• Most common on the knuckles, fingers and knees
• Round or oval in shape
• Firm and raised with a cauliflower-like texture


Verrucas 


• Usually on the sole of your foot
• Flat and white in appearance
• May have small black dots in the centre
• Sometimes painful to walk on


Plane warts


• Most common on the hands, face and legs
• Smooth, flat and yellowish in appearance
• Can occur in large clusters (up to several hundred)


Mosaic warts


• Usually found on the palms or soles of the feet
• Grow in clusters
• Form a tile-like pattern


Periungual warts


• Found under and around the fingernails or toenails
• Can affect the shape of your nail
• May be painful


Genital warts


• Found around the genitals or anus


Filiform warts


• Mostly found on the face and neck
• Long and slender in appearance


Are warts contagious?


Warts can be passed on by close skin-to-skin contact, or via contaminated surfaces (at swimming pools, for example). Genital warts can be passed on through sexual contact.


You can reduce the chances of infection by: 


• Not sharing flannels, towels or other personal items
• Not sharing socks or shoes
• Making sure not to pick at warts, as this can spread the virus
• Covering them up with a plaster or verruca sock
• Wearing sandals in communal showers – verrucas can be transferred from infected surfaces in warm and moist areas


For genital warts, using a condom reduces the risk of transmission, but doesn't provide 100% protection as the virus may be on a part of the skin not covered by the condom.


The HPV vaccination provides some protection against HPV infections that cause genital warts and certain cancers.


Treating warts


Most warts go away on their own, but it can take up to two years so there are various treatment options which can help them disappear faster. Talk to your pharmacist for advice as not all of them are suitable for everyone.


Treatment for genital warts needs to be prescribed by a doctor. If you think you may have a genital wart, visit a sexual health or a GUM (genito-urinary medicine) clinic. We also provide a range of accessible treatment options at our Online Doctor – Genital Warts Treatment Service.*


Salicylic acid treatments for warts


These are available as creams, gels, paint or plasters. You may need to apply the treatment for up to 12 weeks, or longer. This treatment isn't suitable for the face or genital region, for broken or inflamed skin or people with poor circulation. Talk to your pharmacist if you're unsure if this is suitable for you.


Freeze treatments


These use very cold liquids to freeze and destroy the affected skin cells. They can be quite painful to use, so may not be suitable for children. You should not use these treatments on your face. You can buy freezing treatments in a pharmacy, or your GP may be able to freeze a wart or a verruca so it falls off after few weeks. Read the patient information leaflet for instructions on how to use any product.

When to see your GP


Most warts can be managed and treated at home, but you should see your GP if: 


• You have a wart on your face or genitals. For genital warts, you can also consider visiting a sexual health clinic or speaking to a clinician at our Online Doctor – Genital Warts Treatment Service.*
• Your wart bleeds
• You notice any spreading or changes in appearance
• It's causing you significant embarrassment or distress
• You’re worried about a growth on your skin


Your GP may offer a freezing treatment, or refer you to a specialist. You may also be offered treatments including minor surgery, laser therapy or light therapy.


Next steps 


• Help prevent warts from spreading by not sharing personal items, keeping them covered and avoiding the temptation to pick
• Many warts can be treated at home. Talk to your pharmacist for treatment advice
• If you have warts on your face or genitals, see your GP

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*Subject to availability and clinician approval. Charges apply.