The difference between false warts and true warts (how to tell whether a lesion is a true wart)

The concept of false warts and real warts

Warts are a common skin lesion usually caused by a viral infection. False warts and true warts are two different types of warts. They are different in shape, etiology, clinical manifestations, etc.
False warts are skin lesions that look similar to warts but are not caused by a viral infection. It is usually caused by skin friction, pressure, etc. and is not contagious.
True warts are skin lesions caused by human papillomavirus (HPV) infection and are contagious. Commonly found on fingers, soles, anus, genitals and other parts of the body.

Differences in morphological characteristics

False warts are very similar in appearance to real warts, often appearing as round or oval raised lesions with a smooth or slightly eroded surface. They are usually similar in color to the surrounding skin, being light yellow or reddish.
True warts have similar morphological characteristics, but they are usually more protruding than false warts, have a verrucous surface, and often have a corolla or cauliflower shape. In the genital area, true warts usually appear as multiple irregular raised patches with depressions or papillary protrusions on the surface, and are mostly flesh-colored in color.

Differences in causes

The occurrence of false warts is usually due to local epidermal hyperplasia caused by long-term skin friction, pressure, etc., and has nothing to do with viral infection. It is common in places prone to friction and pressure, such as hands and feet.
True warts are skin lesions caused by HPV infection. When the skin is infected, the virus causes abnormal cell proliferation, forming wart-like protrusions. There are many different subtypes of human papillomavirus (HPV), and each subtype corresponds to different sites and clinical manifestations.

Differences in clinical manifestations

The clinical manifestations of pseudowarts are usually single or multiple skin lesions, which are painless or slightly painful. The lesions are often small in scope and difficult to spread. Patients are generally not contagious.
The clinical manifestations of true warts are diverse and can manifest as single or multiple skin lesions, often accompanied by itching or pain. In the genital area, patients often experience symptoms such as discharge and bleeding. It is highly contagious and easily spread through sexual contact.

Methods of differential diagnosis

For first-time skin lesions, a thorough physical examination and testing should be performed to confirm the diagnosis. The main methods of differential diagnosis include:
1. Medical history inquiry: Medical history inquiry includes the occurrence, duration, and area of ​​lesions, etc. of symptoms.
2. Visual inspection: Observe the shape, color, size, etc. of the lesion, including the texture of the lesion surface.
3. Pathological examination: Collect samples and conduct sterility tests for bacteria, fungi, viruses, etc.
4. Pathological examination: Carry out histological examination to understand the morphological changes of cells and tissues. The presence of viral HPV can be determined by examining the cell division morphology and chromosomal changes.

Summary

False warts and true warts are two different types of warts. Although they are very similar in appearance, there are obvious differences in etiology, clinical manifestations, and infectivity. In terms of disease treatment, true warts are more difficult to treat. Once discovered, they need to be treated early to avoid affecting your health. Routine skin care and regular health check-upsHelps prevent or detect illness early.

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