Warts in Children

What are skin warts in children?

Warts on the skin are harmless growths. They are caused by a virus. Warts can spread to other parts of the body and to other people.

What causes skin warts in a child?

Warts are caused by a type of human papillomavirus (HPV). Different types of warts are caused by different types of papillomaviruses.

Which children are at risk for warts?

Warts are more common in children than adults, but they can happen at any age. A person is more at risk for warts if they have either of these:

• Close contact with someone who has warts

• A weak immune system

What are the symptoms of skin warts in a child?

Warts are usually not painful, except when one is on the bottom of a foot. There are many different types of warts. They each look different. The types of warts and their symptoms include:

• Common warts. These usually have a rough surface. They are grayish-yellow or brown in color. They may be on the fingers, elbows, knees, or the face.

• Plantar and palmar warts. These grow on the soles of the feet or palms of the hand. Groups of plantar warts are called mosaic. These warts may be painful.

• Flat warts. These are small, smooth growths. They most often appear on children's faces.

• Filiform warts. These are small, long, narrow growths. They usually appear on eyelids, lips, or the face or neck.

• Periungual warts. These appear as thickened skin around the nails. They can cause painful splits in the skin (fissures).

• Genital warts. These are small and flesh-colored or gray. They show up in the genital area. They may cause itching and irritation. If a child has genital warts, it may be a sign of sexual abuse or early sexual activity. But HPV may also spread through nonsexual contact between child and caregiver, such as giving a child a bath or changing a diaper.

How are skin warts diagnosed in a child?

The healthcare provider will give your child a physical exam. A healthcare provider will usually diagnose warts based on their appearance. They may use a small blade to scrape away the top layers. There may be black dots beneath the top layers. These are tiny blood vessels that have clotted. Your child's healthcare provider may recommend that your child see a skin specialist (dermatologist). The dermatologist may do a shave biopsy to verify the diagnosis. A very small amount of the wart is shaved and sent to the lab to be examined.

How are skin warts treated in a child?

Most warts go away in months to years with no treatment. Common warts can often be treated with over-the-counter products. Treatment of warts depends on:

• How long they have been in place

• Where they are on the body

• What type of wart they are

• How many of them are growing

Some treatment methods may cause pain and burning in the area treated. Talk with your child's healthcare provider about which treatments would cause the least pain and work best for your child. Treatment may include one or more of the following:                      

• Putting salicylic acid or other medicines on the wart

• Freezing the wart with liquid nitrogen

• Applying an electrical current to the wart

• Cutting out (excising) the wart

• Removing the wart with laser surgery

What are possible complications of skin warts in a child?

Warts may be difficult to treat and may return. Untreated genital warts in females may raise the risk of cervical cancer in the future.

What can I do to prevent skin warts in my child?

Warts can spread to other parts of the body and to other people. They can be spread by skin-to-skin contact. The virus may be spread by towels or other personal items. You can help prevent the warts from spreading. Make sure your child:

• Washes their hands for at least 20 seconds with soap and clean, running water after touching the wart

• Doesn’t touch the wart to other parts of their body

• Doesn’t touch the wart to other people

• Doesn’t share anything that touches their wart, such as towels

• Wears socks or slippers if they have warts on the bottom of the feet

There is now a vaccine to prevent genital warts. This vaccine is important because HPV is the leading cause of cervical cancer. Talk with your child's healthcare provider about the HPV vaccine.

When should I call my child's healthcare provider?

Call your child's healthcare provider if your child has warts that:

• Are painful

• Cause problems with normal activities

• Are embarrassing

Key points about skin warts in children

• Warts on the skin are harmless growths. They are caused by one of the human papillomaviruses. 

• Warts are more common in children than adults, although they can develop at any age.

• There are many different types of warts with different appearances.

• Most warts go away without treatment, but it may take weeks or months.

• Warts can be treated with over-the-counter medicines. Other treatments may be prescribed by your child's healthcare provider.

• To help manage warts, it's important to wash your hands before and after touching them.

Next steps

Tips to help you get the most from a visit to your child’s healthcare provider:

• Know the reason for the visit and what you want to happen.

• Before your visit, write down questions you want answered.

• At the visit, write down the name of a new diagnosis and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you for your child.

• Know why a new medicine or treatment is prescribed and how it will help your child. Also know what the side effects are.

• Ask if your child’s condition can be treated in other ways.

• Know why a test or procedure is recommended and what the results could mean.

• Know what to expect if your child does not take the medicine or have the test or procedure.

• If your child has a follow-up appointment, write down the date, time, and purpose for that visit.

• Know how you can contact your child’s provider after office hours. This is important if your child becomes ill and you have questions or need advice.