Verrucae plana, or flat warts, are small, flat, slightly raised warts that typically appear on the face, hands, and legs. They are caused by an infection with the human papillomavirus (HPV) and are contagious but generally harmless.

Symptoms

The main characteristics of verrucae plana are:

  • Small warts (1-5 mm) with a flat and smooth surface.
  • Skin-colored, light brown, or pink in appearance.
  • Often present in clusters or lines.
  • Usually appear on the face, hands, forearms, or legs.
  • Painless but may become itchy or irritated.

The warts usually disappear on their own, but this can take months to years.

Causes

Verrucae plana are caused by the human papillomavirus (HPV), which spreads through skin contact.

Infection occurs through:

  • Direct skin contact with a person who has warts.
  • Indirect contact, for example, through shared towels or razors.
  • Small wounds or damaged skin, making it easier for the virus to enter.

Risk factors:

  • Children and young adults are at higher risk.
  • People with weakened immune systems are more susceptible to infection.
  • Shaving can spread the warts, especially on the face and legs.

Diagnosis

The diagnosis of verrucae plana is usually made by a doctor or dermatologist based on the appearance of the warts.

In some cases, a skin biopsy may be necessary to rule out other skin conditions.

Treatment

In many cases, no treatment is needed, as the warts disappear on their own. If the warts are cosmetically bothersome or persistent, treatments may be considered.

Medical treatments:

  • Tretinoin cream: Stimulates skin exfoliation.
  • Salicylic acid: Softens and gradually removes the warts.
  • Cryotherapy: Freezing with liquid nitrogen.
  • Laser therapy or electrocoagulation: For stubborn warts.
  • Immunotherapy: Stimulates the immune system to fight off the warts.

Self-Care

You can take several measures to prevent the spread and irritation of the warts:

  • Avoid scratching or shaving over warts to prevent spreading.
  • Wash hands regularly to reduce infection risk.
  • Keep skin moisturized to prevent irritation and dryness.
  • Do not share towels, razors, or personal care products.
  • Maintain a healthy lifestyle to strengthen the immune system.
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