Patient's Query
Hello doctor,
I have a viral wart on my forehead.
Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I wemt through your query.
Your clinical image (attachment removed to protect patient identity) is confirmative for a verruca plana, which is a plane viral wart.
All warts are caused by human papilloma virus (HPV); however the strains causing it are different. On the face, it is usually due to HPV 3 and 10. The vaccines available for HPV are mainly to cover for genital warts caused by HPV 16, 18, 31 and 33. These vaccines do not protect you against the normal skin warts as they are caused by totally different strains of HPV.
Taking a vaccine can only protect you against the four strains causing warts on your genitalia. I would advise to go for electrosurgical removal of your wart as it is safe and effective.
Hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
Please help.
Thank you.
Hi,
Welcome back to icliniq.com.
This is a destructive procedure where the warts are actually burnt using a very low frequency of electrical energy to remove the virus totally from the body. It no longer stays once the procedure has been done correctly. Moreover, cosmetically there should not be any scarring too when done appropriately. You need not worry about the virus staying back after electrosurgery.
Hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
I have been also diagnosed with HSV 1 IgG positive; however, the IgM was negative. And, my doctor gave me Acyclovir 800 mg for six weeks.
I never had herpes in my life, but can HSV 1 cause herpes?
Please suggest.
Thank you.
Hi,
Welcome back to icliniq.com.
HSV 1 IgG will remain positive once infected. Hence, the treatment cannot be based on its positivity. IgM positive suggests acute infection, which needs to be treated. Herpes virus usually remains latent and can manifest in conditions of stress and lowered immunity.
However, you need not worry as there are effective treatment options. You need not take Acyclovir as you have never had any clinical manifestations and as IgM is negative.
I hope it helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
When I was first tested for HSV-1, my IGG was equivocal. However, after a month, it became positive.
Kindly help.
Thank you.
Hello,
Welcome back to icliniq.com.
It means that you had been infected very long back, probably in your childhood. It was not detected in the first test but got picked up in the second test. There is no need to fear it and no treatment is required as of now as there are no symptoms, nor you are immunocompromised.
I hope this helps.
Thank you.
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