{"id":3383,"date":"2023-08-07T14:06:24","date_gmt":"2023-08-07T12:06:24","guid":{"rendered":"https:\/\/dermaclub.it\/uncategorized\/warts-how-to-recognise-and-treat-them\/"},"modified":"2024-11-21T16:16:41","modified_gmt":"2024-11-21T15:16:41","slug":"warts-how-to-recognise-and-treat-them","status":"publish","type":"post","link":"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/","title":{"rendered":"Warts: how to recognise and treat them"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_83 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Indice<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Warts_history_and_numbers\" >Warts: history and numbers<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Introduction\" >Introduction<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#The_HPV\" >The HPV<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Subdivision_of_warts\" >Subdivision of warts<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Flat_warts\" >Flat warts<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Filiform_warts\" >Filiform warts<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Warts_on_the_hands\" >Warts on the hands<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Dorsal_and_palmar_warts\" >Dorsal and palmar warts<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Periungual_warts\" >Periungual warts<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#TREATMENT_METHODS\" >TREATMENT METHODS<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Surgery\" >Surgery<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Curettage\" >Curettage<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Laser_therapy_diathermocoagulation_and_liquid_nitrogen\" >Laser therapy, diathermocoagulation and liquid nitrogen<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#Chemical_agents\" >Chemical agents<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/#DermaClub_suggests_salicylic_acid_in_flexible_collodion\" >DermaClub suggests: salicylic acid in flexible collodion<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Warts_history_and_numbers\"><\/span><b>Warts: history and numbers<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]Warts were known to the ancient Greeks and Romans, and in writings from 30 BC, Aulus Cornelius Celsus already speaks of leek-like manifestations that could be describing warts. Their identification as infections transmissible by contagion did not occur, however, until the late 1800s. In 1949, the agent causing verrucas was isolated as the papilloma virus (human papillomavirus, or HPV) and, a few years later, characterized as a double-helical DNA virus of the papovavirus family.<br \/>\nToday, it is estimated that nearly 7% of the general population suffers from warts, a sharp increase when compared to the past two or three decades. School-age children and young adults are most likely to have viruses for vulgar warts (58-70% of wart cases) and plantar warts (24-34% of wart cases). The peak range for having warts is between ten and 14 years of age. The transmission of the virus is favored by microtrauma (elbows and knees) and frequenting public environments and swimming pools (plantar warts). Recently, it has been suggested that there is an increased susceptibility to warts in children with atopic dermatitis, however larger scale studies are needed to provide scientific confirmation of this hypothesis.<br \/>\nCertain occupational groups (veterinarians, slaughter workers) are at increased risk. An animal model for HPV has not yet been successfully developed, and the virus cannot be cultivated in vitro. HPV is specifically a host of squamous epithelial cells such as those of the skin, although some types can grow in the epithelial cells of the genital and buccal\/laryngeal mucous membranes.<br \/>\nThese viruses are extremely small and penetrate cells easily. Once the virus has gained access it uses the resources of the host cell to coordinate its genes and replicate them.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Introduction\"><\/span><b>Introduction<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]Warts were known to the ancient Greeks and Romans, and in some writings from 30 BC. Aulus Cornelius Celsus already mentions leek-like manifestations that could suggest warts. Their identification as infections transmissible by contagion did not occur until the late 1800s, however, while the agent causing them, the Papilloma Virus, (Human Papilloma Virus or HPV) was isolated in 1949 and, a few years later, characterised as a double-helix DNA virus of the Papovavirus family.<br \/>\nToday, it is estimated that almost 7% of the population suffer from warts.<br \/>\nAn animal model for HPV has not yet been successfully developed, and the virus cannot be cultivated in vitro. HPV is specifically a host of squamous epithelial cells such as those of the skin, although some types can grow in the epithelial cells of the genital and buccal\/laryngeal mucous membranes.<br \/>\nThese viruses are extremely small and penetrate cells easily. Once the virus has gained access it uses the resources of the host cell to coordinate its genes and replicate them.<br \/>\nThe peak incidence is from 12 to 16 years of age and the vast majority of warts&#8217; location is on the hands and soles of the feet.<br \/>\nRecently, there has been talk of an increased susceptibility to warts in children with Atopic Dermatitis and scientific confirmation of this hypothesis is awaited from large-scale studies.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"The_HPV\"><\/span><b>The HPV<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]<span style=\"font-weight: 400;\">HPV cause many different types of warts in humans, including skin warts, plantar warts, genital condylomas and laryngeal papillomas.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Certain HPV types are implicated in the carcinogenesis of areas such as the cervix, glans, larynx, tongue, etc.<\/span><\/p>\n<p><b>CLASSIFICATION<\/b><\/p>\n<table>\n<tbody>\n<tr>\n<td><strong>HPV type<\/strong><\/td>\n<td><strong>Clinical lesion<\/strong><\/td>\n<td><strong>Localisation<\/strong><\/td>\n<td><strong>Suspected oncogenic potential<\/strong><\/td>\n<\/tr>\n<tr>\n<td>1<\/td>\n<td>Plantar warts<\/td>\n<td>Sole of the foot<\/td>\n<td>Benign<\/td>\n<\/tr>\n<tr>\n<td>2<\/td>\n<td>Mosaic warts<\/td>\n<td>Sole of the foot<\/td>\n<td>Benign<\/td>\n<\/tr>\n<tr>\n<td>2<\/td>\n<td>Common warts<\/td>\n<td>Hands and limbs<\/td>\n<td>Benign<\/td>\n<\/tr>\n<tr>\n<td>3, 10, 27, 28<\/td>\n<td>Flat warts \/ Epidermodysplasia verruciformis (EV) <\/td>\n<td>Hands, limbs and face<\/td>\n<td>Rarely malignant <\/td>\n<\/tr>\n<tr>\n<td>5, 8<\/td>\n<td>Verruciform epidermodysplasia in patients with deficiencies of cell-mediated immunity<\/td>\n<td>Face, limbs and torso<\/td>\n<td>30% of cases progress to malignancy <\/td>\n<\/tr>\n<tr>\n<td>6, 11<\/td>\n<td>Anogenital chondylomas; pharyngeal papillomas<\/td>\n<td><\/td>\n<td>Low risk of malignancy<\/td>\n<\/tr>\n<tr>\n<td>4, 7<\/td>\n<td>Warts on the hands of meat and animal handlers<\/td>\n<td>Hands<\/td>\n<td>Benign<\/td>\n<\/tr>\n<tr>\n<td>9, 12, 14, 15, 17, 19, 25, 36, 40<\/td>\n<td>Verruciform epidermodysplasia<\/td>\n<td>Face, limbs and torso<\/td>\n<td>Some strains evolve into carcinoma (HPV 12, 17, 20) <\/td>\n<\/tr>\n<tr>\n<td>16, 18, 31, 33, 35 e 39<\/td>\n<td>Carcinomas of genital mucosa, Laryngeal carcinoma, esophageal Bowen&#8217;s disease<\/td>\n<td>Uterine cervix, esophagus, pharynx<\/td>\n<td>High correlation with oral and genital carcinomas <\/td>\n<\/tr>\n<tr>\n<td>26, 27, 29<\/td>\n<td>Cutaneous warts <\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>30, 40<\/td>\n<p>\u200b\u200b<\/p>\n<td>Laryngeal carcinoma<\/td>\n<td>Larynx<\/td>\n<td>Malignant<\/td>\n<\/tr>\n<tr>\n<td>37<\/td>\n<td>Keratoacanthoma<\/td>\n<td><\/td>\n<td>Benign<\/td>\n<\/tr>\n<tr>\n<td>41, 42<\/td>\n<td>Genital warts<\/td>\n<td>Genitals<\/td>\n<td>Benign<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>[\/vc_column_text][vc_column_text]Around 7-10% of the population have skin warts at any one time, a figure that has been increasing sharply for the past two to three decades. School-age children and young adults are most likely to have viruses for vulgar warts (58-70% of wart cases) and plantar warts (24-34% of wart cases). The peak age for having warts is between ten and 14 years of age. The transmission of the virus is favored by microtrauma (elbows and knees) and frequenting public environments and swimming pools (plantar warts).<br \/>\nCertain occupational groups such as veterinarians or slaughter workers are also at a higher risk of contracting warts.<br \/>\nHowever, the hypothesis of transmission by a Papillomavirus of animal origin has never been proven.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Subdivision_of_warts\"><\/span><b>Subdivision of warts<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<ul>\n<li>Verruche piane<\/li>\n<li>Filiform warts<\/li>\n<li>Hand warts and variants<\/li>\n<li>Plantar warts and variants<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Flat_warts\"><\/span><b>Flat warts<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]Flat warts usually occur on the face or, in younger patients, they may appear on the back of the hands. They are asymptomatic and can be difficult to recognize, because they appear as small polygonal, isolated or confluent protrusions which are the color of normal or slightly darker skin. They spread rapidly to a certain number then settle without regression. Flat warts are contagious and can last for years without treatment.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;211&#8243; img_size=&#8221;250X300&#8243; alignment=&#8221;center&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;210&#8243; img_size=&#8221;250X300&#8243; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Flat warts are difficult to treat.<br \/>\nDue to the fact that they are usually present on the face, thermal energies such as those produced by laser therapy, diathermocoagulation or liquid nitrogen cannot be used to remove them.<br \/>\nPositive results are obtained by using <strong><a href=\"https:\/\/mostskincare.com\/negozio\/linea-prodotti-dermatologica\/crema-2s\/\" target=\"_blank\" rel=\"noopener\">2S Cream<\/a><\/strong>, rich in sulfosalicylic cream to facilitate wart detachment. Topical retinoic acid lotion (Airol Lotion) alternated with the glycolic-salicylic rich <strong><a href=\"https:\/\/mostskincare.com\/negozio\/linea-prodotti-dermatologica\/lozione-glicosal\/\" target=\"_blank\" rel=\"noopener\">Glicosal Lotion<\/a><\/strong> may also be used.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Filiform_warts\"><\/span><b>Filiform warts<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]Filiform warts are skin extroversions that have varying degrees of subtlety. As their name suggests, they have a filiform appearance and can appear randomly as single or multiple warts in adults. The face, and particularly the beard area, is most likely to be affected.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;212&#8243; img_size=&#8221;350X262&#8243; alignment=&#8221;center&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;213&#8243; img_size=&#8221;350X262&#8243; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]To remove filiform warts, a ring curette must be used and coagulated with aluminum chloride. This operation can be performed by a professional without anesthesia.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Warts_on_the_hands\"><\/span><b>Warts on the hands<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]Alongside those on the sole of the foot, hand warts are the most common type of warts. They are contagious and affect children of early school age the most, with hand warts often being present within school communities.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Dorsal_and_palmar_warts\"><\/span><b>Dorsal and palmar warts<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]Dorsal and palmar warts appear on the dorsum as embossments with a depressed central crater. When they appear on the palm, warts resemble sunken nodules.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;216&#8243; alignment=&#8221;center&#8221;][\/vc_column][vc_column width=&#8221;1\/2&#8243;][vc_single_image image=&#8221;214&#8243; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Periungual_warts\"><\/span><b>Periungual warts<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=&#8221;2\/3&#8243;][vc_column_text]A variant of palmar warts is the periungual wart, which affects the free margin of the nail.<br \/>\nPeriungual warts are difficult to eliminate because they often recur and, due to their anatomically delicate position, they cannot be targeted with thermal energies. Instead, concentrated salicylic acid is the preferred treatment course (see treatments).[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;215&#8243;][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"TREATMENT_METHODS\"><\/span><b>TREATMENT METHODS<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]In short, there is no specific antiviral drug treatment to get rid of warts. Instead, there is a wide variety of methods that are used to treat warts, some of which can do more harm than good.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Surgery\"><\/span>Surgery<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Under local anesthesia, the entire wart is excised with scalpel and sutured. However, this procedure can damage the healthy tissue surrounding the wart, can leave scarring and does not prevent reoccurance. <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Curettage\"><\/span>Curettage<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The most traditional method of warts removal, cureattage is performed under local anesthesia and involves penetrating the edge of the wart with the sharp edge of a specialized spoon to dislodge the lesion. This technique does not damage nearby healthy tissue and the post-intervention wound is small, and can be easily treated. It will likely be fully healed within ten days.  <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Laser_therapy_diathermocoagulation_and_liquid_nitrogen\"><\/span>Laser therapy, diathermocoagulation and liquid nitrogen<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>These treatment methods use hot or cold thermal energy to destroy the wart. However, due to the spread of thermal waves, these techniques often end up injuring the surrounding healthy tissue, and can cause scarring, delayed healing and an increased infection risk.<br \/>\nIn addition, warts often recur after these treatments. For these reasons, laser therapy, diathermocoagulation and liquid nitrogen are not recommended for the removal of warts. <\/p>\n<h3><span class=\"ez-toc-section\" id=\"Chemical_agents\"><\/span>Chemical agents<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Various chemical agents with caustic properties such as trichloroacetic acid, nitric acid and silver nitrate can be used to treat warts. So, too, can agents with keratolytic properties such as salicylic acid and lactic acid. The latter are commercially available both in liquid form and in flexible collodion. Salicylic acid can also be found in wart patches and plasters.[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"DermaClub_suggests_salicylic_acid_in_flexible_collodion\"><\/span><b>DermaClub suggests: salicylic acid in flexible collodion<\/b><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/vc_column_text][vc_column_text]The treatment method for the various forms of warts suggested by DermaClub is treatment with salicylic acid concentrated in Collodion Elasticum. This technique was developed mainly to treat warts that cannot be treated with curettes such as periungual warts and plantar mosaic warts but can be extended to hand warts and simple plantar warts. It is not suitable for the treatment of flat warts and filiform warts.<br \/>\nThe principle of this treatment lies in the fact that salicylic acid has a high capacity to diffuse through the stratum corneum and remain in place for many days.<br \/>\nIn this method, 30% salicylic acid in elastic collodion is used.<br \/>\nThe procedure is as follows:<br \/>\nExcess stratum corneum on the wart is removed using a nail file or similar instrument.<br \/>\nA drop of concentrated salicylic acid in collodion is then applied on the prepared wart. After a few seconds, as the collodion dries, a white adherent film forms. The salicylic acid will begin its penetration phase and continue to act for about 48 hours. After 2 days, the excess stratum corneum on the wart is removed again using a nail file or similar instrument. The application of salicylic acid in collodion is then repeated.<br \/>\nThese operations must be repeated every two days until the warts disappear. The method has an efficacy comparable to removal with curettes and has the advantage that it can be performed at home by the patient himself or with the help of the podiatrist. It is also completely painless. The formula of Salicylic Acid in Collodion Elastic is as follows:   <\/p>\n<ul>\n<li>Salicylic acid: 3 <\/li>\n<li>Flexible collodion 5%: 5<\/li>\n<li>Ethyl alcohol: 1<\/li>\n<li>Ethyl ether: 1<\/li>\n<\/ul>\n<p>It should be stored in a glass bottle with a pipette lid and should be refrigerated.[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] Warts: history and numbers [\/vc_column_text][vc_column_text]Warts were known to the ancient Greeks and Romans, and in writings from 30 BC, Aulus Cornelius Celsus already speaks of<span class=\"excerpt-hellip\"> [\u2026]<\/span><\/p>\n","protected":false},"author":1,"featured_media":2422,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52],"tags":[],"class_list":["post-3383","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-skin-diseases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.1 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Warts: often not easy to recognise in the early stages of development<\/title>\n<meta name=\"description\" content=\"Warts are very common viral infections. Since no specific drug is known, several treatments are proposed that are worth thinking about\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dermaclub.it\/en\/skin-diseases\/warts-how-to-recognise-and-treat-them\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Warts: how to recognise and treat them\" \/>\n<meta property=\"og:description\" content=\"Warts are very common viral infections. 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