*Practice update COVID-19 as of 4/28/2020
I hope that you and your family are staying healthy in these trying times. I have been closely monitoring the developments of COVID-19 in our community and across the country. I am encouraged by the decline in new cases in our community and I am comfortable cautiously reopening our practice as of Friday, May 1st. In an effort to reduce the spread of COVID-19, I have implemented safety measures following the guidelines of the American Academy of Dermatology.
Prior to a scheduled appointment, a Sun Valley Skin Center staff member will contact the patient and ask if they, or someone they have been in close contact with, are experiencing symptoms related to COVID-19. A patient who is experiencing these symptoms will be asked to reschedule their appointment until the symptoms have resolved. Patients will be asked to wear a mask when they enter the practice. If a patient does not have a mask, we will request that they call the practice from the parking lot and a staff member will bring a mask to the patient. Once patients enter the building, a staff member will immediately escort them into an exam room that has had all surfaces sterilized. All Sun Valley Skin Center staff members will be wearing gloves and masks at all times. Visits that can be rendered via telemedicine will continue to be conducted over our telemedicine platform for at least the month of May in an effort to reduce the amount of people in the office.
I sincerely appreciate your participation in these efforts to reduce the spread of COVID-19 in our community. I ask that patients not bring children, friends or loved ones to their appointment. I have been impressed with our community’s response to reduce the spread of COVID-19. I think that it is important that we all remain vigilant and continue to adhere to public health guidelines to further reduce the spread of COVID-19.
I thank you for the support of our practice and look forward to seeing you in the practice or virtually through telemedicine.
Stay safe. Stay healthy.
Lindie Borton, MD
Warts are small, harmless growths that appear most frequently on the hands and feet. Sometimes they look flat and smooth, other times they have a dome-shaped or cauliflower-like appearance. Warts can be surrounded by skin that is either lighter or darker. Warts are caused by different forms of Human Papilloma Virus (HPV). They occur in people of all ages and can spread from person-to-person and from one part of the body to another. Warts are benign (noncancerous) and generally painless. They may disappear without any treatment. However, in most cases eliminating warts takes time.
The location of a wart often characterizes its type:
Common warts can appear anywhere on the body, although they most often appear on the back of fingers, toes and knees. These skin-colored, dome-shaped lesions usually grow where the skin has been broken, such as a scratch or bug bite. They can range in size from a pinhead to 10mm and may appear singly or in multiples.
Filiform warts look like a long, narrow, flesh-colored stalk that appears singly or in multiples around the eyelids, face, neck or lips. They are sometimes called facial warts. They may cause itching or bleeding, but are easy to treat with over-the-counter medications.
Flat (plane) warts appear on the face and forehead. They are flesh-colored or white, with a slightly raised, flat surface and they usually appear in multiples. Flat warts are more common among children and teens than adults.
Genital warts appear around the genital and pubic areas. It is also possible to get genital warts inside the vagina and anal canal or in the mouth (known as oral warts). The lesions start small and soft but can become quite large. They often grow in clusters. They are both sexually transmitted and highly contagious. In fact, it is recommended you generally avoid sex with anyone who has a visible genital wart. Genital warts should always be treated by a physician.
Plantar warts appear on the soles of the feet and can be painful since they are on weight-bearing surfaces. They have a rough, cauliflower-like appearance and may have a small black speck in them. They often appear in multiples and may combine into a larger wart called a mosaic wart. Plantar warts can spread rapidly.
Subungual and periungual warts appear as rough growths around the fingernails and/or toenails. They start as nearly undetectable, pin-sized lesions and grow to pea-sized with rough, irregular bumps with uneven borders. Subungual and periungual warts can impede healthy nail growth. Because of their location, they are difficult to treat and generally require medical attention.
Most warts respond to over-the-counter treatments, including:
- Cryotherapy, which freezes off the wart using liquid nitrogen or nitrous oxide.
- Electrosurgery, which sends an electric current through the wart to kill the tissue.
- Laser surgery, which essentially heat up the wart until the tissue dies and the wart eventually falls off.
- Nonprescription freezing products (dimethyl ether), aerosol sprays that freeze the warts and cause them to die off.
- Salicylic acid preparations, which dissolve the protein (keratin) that makes up the wart and the thick layer of skin that covers it. It comes in gels, pads, drops and plasters and takes 4 to 6 weeks to eradicate the warts.
If self-treatments don't work after a period of about 4 to 12 weeks, contact our dermatologist. We'll assess your warts and recommend the best option.
Always contact the dermatologist if a wart is causing pain, changes in color or appearance and for all genital warts.