For other uses, see Wart (disambiguation).
verruca,[1] papillomas[2]

A large number of warts on the big toe
Specialty dermatology
Symptoms painless, small, rough skin growth[1][3]
Duration months to years[1]
Causes human papillomavirus[1]
Risk factors public showers, eczema[3]
Differential diagnosis callus, seborrheic keratosis, squamous cell carcinoma[4]
Treatment salicylic acid, cryotherapy[1]
Frequency very common[2]

Warts are typically small, rough, and hard growths that are similar in color to the rest of the skin.[1][3] They typically do not result in symptoms except when on the bottom of the feet where they may be painful.[3] While they usually occur on the hands and feet they can also affect other locations.[1] One or many warts may appear. They are not cancerous.[3]

Warts are caused by infection with a type of human papillomavirus (HPV).[1] Factors that increase the risk include use of public showers, working with meat, eczema, and a low immune system.[1][3] The virus is believed to enter the body through skin that has been damaged slightly.[1] A number of types exist including: common warts, plantar warts, filiform warts, and genital warts.[3] Genital warts are often sexually transmitted.[5]

Without treatment, most types of warts resolve in months to years. A number of treatments may speed resolution including salicylic acid applied to the skin and cryotherapy. In those who are otherwise healthy they do not typically result in significant problems.[1] Treatment of genital warts differ from that of other types.[3]

Warts are very common with most people being infected at some point in time.[2] The estimated current rate of non-genital warts among the generally population is 1–13%. They are more common among young people.[1] Estimated rates of genital warts in sexually active women is 12%.[5] Warts have been described at least as far back as 400 BC by Hippocrates.[4]


A filiform wart on the eyelid.

A range of types of wart have been identified, varying in shape and site affected, as well as the type of human papillomavirus involved.[6][7] These include:


Micrograph of a common wart (verruca vulgaris) showing the characteristic features (hyperkeratosis, acanthosis, hypergranulosis, rete ridge elongation, and large blood vessels at the dermoepidermal junction, H&E stain)
Main article: Human papilloma virus

Warts are caused by the human papilloma virus (HPV). There are about 130 known types of human papilloma viruses.[8] HPV infects the squamous epithelium, usually of the skin or genitals, but each HPV type is typically only able to infect a few specific areas on the body. Many HPV types can produce a benign growth, often called a "wart" or "papilloma", in the area they infect. Many of the more common HPV and wart types are listed below.

  • High-risk: 16, 18 (cause the most cervical cancer); also 31, 33, 35, 39, 45, 52, 58, 59, and others.
  • Low-risk: 6, 11 (most common); also 13, 44, 40, 43, 42, 54, 61, 72, 81, 89, and others.


Common warts have a characteristic appearance under the microscope. They have thickening of the stratum corneum (hyperkeratosis), thickening of the stratum spinosum (acanthosis), thickening of the stratum granulosum, rete ridge elongation, and large blood vessels at the dermoepidermal junction.


Gardasil 6 is an HPV vaccine aimed at preventing cervical cancers and genital warts. Gardasil is designed to prevent infection with HPV types 16, 18, 6, and 11. HPV types 16 and 18 currently cause about 70% of cervical cancer cases,[11][12] and also cause some vulvar, vaginal,[9] penile and anal cancers.[10] HPV types 6 and 11 are responsible for 90% of documented cases of genital warts.[14]

Gardasil 9, approved in 2014 protects against HPV types 6, 11, 16, 18, 31, 33, 45, 52, and 58.[15]

HPV vaccines do not currently protect against the virus strains responsible for plantar warts (verrucas).


The virus is relatively hardy and immune to many common disinfectants. Exposure to 90% ethanol for at least 1 minute, 2% glutaraldehyde, 30% Savlon, and/or 1% sodium hypochlorite can disinfect the pathogen.[16]

The virus is resistant to drying and heat, but killed by 100 °C (212 °F) and ultraviolet radiation.[16]


There are many treatments and procedures associated with wart removal.[17] A review of clinical trials of various cutaneous wart treatments concluded that topical treatments containing salicylic acid were more effective than placebo.[18] Cryotherapy appears to be as effective as salicylic acid, but there have been fewer trials.[18]


Two viral warts on a middle finger, being treated with a mixture of acids (like salicylic acid) to remove them. A white precipitate forms on the area where the product was applied.
This image shows throat warts (papillomas) before treatment and during the treatment process. Left to right: warts prior to treatment, warts on day of silver nitrate treatment, warts two days after treatment, warts four days after treatment, warts six days after treatment, and warts remaining nine days after treatment.

Another product available over-the-counter that can aid in wart removal is silver nitrate in the form of a caustic pencil, which is also available at drug stores. 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.[24] The instructions must be followed to minimize staining of skin and clothing. Occasionally pigmented scars may develop.

Several randomized, controlled trials have found that zinc sulfate, consumed orally, often reduces or eliminates warts.[25][26][27] The zinc sulfate dosage used in medical trials for treatment of warts was between 5 and 10 mg/kg/day. For elemental zinc, a lower dosage of 2.5 mg/kg/day may be appropriate as large amounts of zinc may cause a copper deficiency.[25] Other trials have found that topical zinc sulfate solution[28] or zinc oxide[29] are also effective.

A 2014 study indicates that lopinavir is effective against the human papilloma virus (HPV). The study used the equivalent of one tablet twice a day applied topically to the cervices of women with high-grade and low-grade precancerous conditions. After three months of treatment, 82.6% of the women who had high-grade disease had normal cervical conditions, confirmed by smears and biopsies.[30]

Studies of fat-soluble garlic extracts have shown clearing in greater than 90% of cases. The extract is applied twice daily and covered with an adhesive bandage. Improvements show within 2–4 weeks and total clearing in an average of 6–9 weeks.[31][32][33]


Liquid nitrogen spray tank

Society and culture

Despite their appearance, toads do not cause warts

A variety of traditional folk remedies and rituals claim to be able to remove warts.

The acrid yellow sap of Greater Celandine is used as a traditional wart remedy.[40] The sap can be applied directly to the wart in a similar manner to concentrated salicylic acid solution, but in more modest quantities.

In The Adventures of Tom Sawyer, Mark Twain has his characters discuss a variety of such remedies. Tom Sawyer proposes "spunk-water" (or "stump-water", the water collecting in the hollow of a tree stump) as a remedy for warts on the hand. You put your hand into the water at midnight and say:

Barley-corn, barley-corn, injun-meal shorts,
Spunk-water, spunk-water, swaller these warts

You then "walk away quick, eleven steps, with your eyes shut, and then turn around three times and walk home without speaking to anybody. Because if you speak the charm's busted." This is held to be superior to Huckleberry Finn's preferred remedy which involved throwing a dead cat into a graveyard. Another remedy involved splitting a bean, drawing blood from the wart and putting it on one of the halves, and burying that half at a crossroads at midnight. The theory of operation is that the blood on the buried bean will draw away the wart.[41] Twain is recognized as an early collector and recorder of genuine American folklore.[42]

Similar practices are recorded elsewhere. In Louisiana, one remedy for warts involves rubbing the wart with a potato, which is then buried; when the "buried potato dries up, the wart will be cured".[43] Another remedy similar to Twain's is reported from Northern Ireland, where water from a specific well on Rathlin Island is credited with the power to cure warts.[44]

A longstanding tradition holds that touching toads will cause warts. The most common Northern Hemisphere toads have glands that protrude from their skin that superficially resemble warts. Warts are caused by a virus, and toads do not harbor it.[45]

Other animals


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