Verruca Vulgaris: Signs, Causes, And How To Treat

Verruca vulgaris, commonly known as a common wart, is a small, rough growth on the skin caused by the human papillomavirus (HPV). This virus enters the body through a break in the skin, leading to the development of warts, which can appear on hands, fingers, or feet. 

The virus is highly contagious and can be spread through direct contact with an infected person or by touching surfaces that have been in contact with the virus. While verruca vulgaris is generally harmless and often resolves on its own, it can be bothersome or cosmetically undesirable for some individuals. Proper hygiene practices can help prevent the spread of the virus and reduce the risk of developing warts.

Symptoms of Verruca Vulgaris

It can be painful or tender, especially when located on weight-bearing areas like the soles of the feet.  Warts can vary in size and may have a cauliflower-like appearance.  Sometimes, they can cause itching or bleeding if scratched.  

Additionally, verruca vulgaris can spread to other areas through direct contact or sharing personal items.  If you notice any suspicious skin growths or changes, it's essential to consult a healthcare provider for proper evaluation and management.

  • Verruca vulgaris may present as small, rough, raised bumps on the skin, commonly on the hands or feet.
  • These warts can be painful, especially when pressure is applied, such as when walking or gripping objects.
  • Some individuals may experience itching or tenderness around the affected area of the verruca vulgaris.
  • Verruca vulgaris can have black dots or tiny blood vessels within the lesion, giving it a characteristic appearance.
  • In some cases, verruca vulgaris can multiply and spread to nearby skin, leading to clusters of warts.

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Causes of Verruca Vulgaris

The virus enters the body through small cuts or breaks in the skin, leading to the formation of warts.  Factors that increase the risk of developing verruca vulgaris include weakened immune system, direct contact with the virus, and walking barefoot in warm, moist environments like swimming pools and communal showers.  

Additionally, individuals with a history of eczema or other skin conditions may be more susceptible to developing warts.

  • Verruca vulgaris is caused by the human papillomavirus (HPV), particularly types 1, 2, 4, 27, and 57, which infect the skin cells.
  • Transmission occurs through direct contact with the virus, often in warm, moist environments like swimming pools, communal showers, or gym locker rooms.
  • Individuals with weakened immune systems are more susceptible to developing verruca vulgaris due to a reduced ability to fight off viral infections.
  • Certain activities that cause skin trauma, such as shaving or biting nails, can create entry points for the HPV virus, leading to verruca vulgaris.
  • People who frequently walk barefoot in public places, especially where the virus may thrive, such

Types of Verruca Vulgaris

These types include flat warts, which are small, smooth, and flat-topped lesions commonly found on the face and hands.  Filiform warts are long and narrow, often appearing on the neck, face, or eyelids.  Plantar warts occur on the soles of the feet and can be painful due to pressure while walking.  Periungual warts form around the nails, potentially affecting nail growth.  

Lastly, mosaic warts are clusters of plantar warts that develop together in a mosaic-like pattern on the feet.  Each type of Verruca vulgaris presents unique characteristics and may require different treatment approaches.

  • Common type of Verruca vulgaris is the "common wart."
  • Plantar warts are a type of Verruca vulgaris that appear on the soles of the feet.
  • Flat warts are another form of Verruca vulgaris that are usually smoother and flatter than other types.
  • Filiform warts are long and narrow growths that often appear on the face, neck, or around the mouth.
  • Periungual warts are Verruca vulgaris that develop around the nails, often affecting the nail bed or cuticle.
  • Genital warts are a sexually transmitted infection caused by certain strains of the human papillomavirus (HPV).

Risk Factors

Various risk factors can increase the likelihood of developing these skin growths.  These include a weakened immune system, such as in individuals with conditions like HIV/AIDS or undergoing immunosuppressive therapy.  

Direct contact with the virus, often in shared moist environments like swimming pools or communal showers, can also predispose individuals to warts.  Additionally, people who bite their nails or have cuts or abrasions on their skin are at higher risk of HPV transmission, leading to the development of verruca vulgaris.

  • Walking barefoot in public places increases the risk of contracting Verruca vulgaris due to exposure to the virus.
  • Individuals with a weakened immune system, such as those with HIV/AIDS or undergoing immunosuppressive therapy, are more susceptible.
  • People who frequently use communal showers, swimming pools, or gyms are at higher risk of developing Verruca vulgaris.
  • Having cuts, abrasions, or breaks in the skin can provide an entry point for the human papillomavirus (HPV) that causes Verruca vulgaris.
  • Children and teenagers are more prone to Verruca vulgaris as their immune systems are still developing, making them more vulnerable.

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Diagnosis of Verruca Vulgaris

In some cases, a healthcare provider may utilize a technique called dermoscopy to closely examine the lesion.  Additionally, when there is diagnostic uncertainty, a skin biopsy may be performed to confirm the presence of the human papillomavirus (HPV) responsible for warts.  

The combination of these methods helps healthcare professionals accurately diagnose Verruca vulgaris and determine the most appropriate treatment plan for the patient.

  • Diagnosis of Verruca vulgaris typically involves visual inspection of the skin lesions by a healthcare provider.
  • Dermoscopy may be used to examine the wart closely and differentiate it from other skin conditions.
  • Sometimes, a skin biopsy is performed to confirm the diagnosis if the presentation is atypical or uncertain.

Treatment for Verruca Vulgaris

Verruca vulgaris, commonly known as a common wart, can be treated through various methods depending on the size, location, and individual preference. Treatment options include over-the-counter topical medications containing salicylic acid, cryotherapy using liquid nitrogen to freeze the wart, laser therapy to destroy the wart tissue, and surgical removal for persistent or large warts. 

Some home remedies like duct tape occlusion and apple cider vinegar application may also be tried. It's important to consult a healthcare provider to determine the most suitable treatment approach for each specific case of Verruca vulgaris.

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Frequently Asked Questions

What are the common signs of Verruca vulgaris?

Common signs of Verruca vulgaris include small, rough growths on the skin that may appear grainy with dark dots.

What are the recommended do's and don'ts for managing Verruca vulgaris?

Do keep the affected area clean and dry, wear flip-flops in public showers. Don't share towels or shoes to prevent spreading the virus.

What are the potential complications of Verruca vulgaris?

Potential complications of Verruca vulgaris may include spreading to other areas of the body, pain or discomfort, and emotional distress.

How can Verruca vulgaris be treated and controlled?

Verruca vulgaris can be treated with over-the-counter medications, cryotherapy, or laser therapy. It can be controlled by avoiding direct skin.

How can I prevent the recurrence of Verruca vulgaris?

Prevent verruca vulgaris by avoiding direct contact with an infected person's skin, keeping feet clean and dry, and wearing flip-flops in public.

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