Flat Warts

The Verrucae planae juveniles or flat warts are only a few millimeters in size. They often affect children and young people. Flat warts may appear in large numbers on the hands and face. They are therefore also called juvenile warts. Flat warts, also called flat warts, are flat, round, mostly soft and often have fine points. They are particularly common on the face, neck, wrists, and backs of the hands and fingers.

They are often skin-colored or translucent and only one to two millimeters in size. As the name suggests, they are flat and not rough or convex like other types of warts. They usually occur in groups of up to 100.

Flat warts are harmless and often go away on their own. If you don’t want to wait for it or if you have severe and flat warts, you should talk to your doctor about treatment options. For example, flat warts can be dissolved with vitamin A acid or salicylic acid (possibly in combination with UV radiation). They can also be frozen (cryotherapy) or “burned” with electricity (electrocoagulation). Sometimes they are also removed with a special surgical instrument (curette) or removed with laser therapy.

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How to Recognize Flat Warts

Flat or flat warts (Verrucae planae juveniles) are slightly raised, more or less rounded warts. They are usually only one to two millimeters in size. They are coarse, skin-colored, or translucent. Flat warts occur particularly in childhood and adolescence. That is why they are also called juvenile warts. They are usually found in large numbers, preferably on the face (forehead, temples, cheeks, mouth area) and on the hands. Flat warts also occasionally form in other parts of the body (chest, forearms, etc.).

Flat Warts Cause & Contagion

Flat warts are caused by certain types of human papilloma virus (HPV). A weakened immune system can make the infection more likely. The pathogens are easily transferred to other parts of the body by scratching. This allows the flat warts to spread – often in a row along the scratch lines.

How Can Flat Warts Be Removed?

There are several options available at the doctor’s office for removing flat warts. A proven treatment option is the freezing method (cryotherapy). The flat warts can also be tackled with caustic solutions. By burning the skin, the body’s defenses are stimulated to fight the HP viruses.

Juvenile warts are harmless. They usually resolve spontaneously on their own (after months or years). There are no scars left. So there is actually no need to treat flat warts. Therapeutic measures (especially invasive measures) should only be used very cautiously.

Flat Warts External Treatment

The layer of the planar warts can be dissolved with an ointment containing vitamin A acid or with salicylic acid. It may be possible to combine their use with UV radiation. In severe cases, the active ingredient imiquimod is used as a cream outside of the officially approved field of application (off-label). The active ingredient influences the immune system, so it is an immunomodulator.

Flat warts can be frozen (cryosurgery) or heated with electric current and “burned” (electrocoagulation). Another option is to remove warts with a so-called curette (curettage) or remove it with the help of a laser (laser therapy). Such invasive measures are generally not indicated for flat warts. In addition, the relapse rate is relatively high: after the flat warts have been removed, new ones will soon form in many cases.

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