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HPV VP/Warts

Discussion in 'General Issues and Discussion Forum' started by Hull footman, Aug 31, 2007.

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  1. Hull footman

    Hull footman Member


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    I know that there is discussion going on about whether or not we shoulld treat them.Many pts want rid of the blasted things. But I have some other questions to increase my knowledge base
    As far as I understand it we cannot cure the hpv virus.Only the verrucae/warts that it produces. The viral infection is very contagious especially to the pt with them. They can spread on the body and can lay dormant etc. When conditions are right they produce new vp/warts.What I am unsure and would like clarification on is this.If the person has had vp and they have been eradicated .How big an area will be infected with the virus? is it localised to the areas where the warts where ? {ie.one vp plantar mpj now destroyed} will the virus spread along the skin to affect the entire body ? even if speedy resolution was acheived?, if so do we know any kind of time table for this to happen, or is it a per case situation ,which I expect it is.
    Along the same line I know that we all have a great variety of eradication rates but ;are newly aquired vp more likely to have a quicker resolution than those that the pt has had for 'years and years'.?
    Those pts that have several goes at home treatment or who give up tt when it gets bogged down, as the vp builds resistance to a particular tt will this produce new vp types in the way that in the same way that bacteria develops ways around AB's and develop superbugs.Can that happen with vp's and is that why there is no silver bullet for vp's and warts.
    I know some will point out my ignorance showing through here but if you only ask about what you know you will never know any different.
    Thanks for reading this
    Hull Footman
     
  2. Admin2

    Admin2 Administrator Staff Member

  3. Cameron

    Cameron Well-Known Member

    Hull Footman

    >As far as I understand it we cannot cure the hpv virus.

    To the best of my knoweldge this can be done but the common practice in podiatry has been not to use anti viral preparations. Vacination against hpv virus is now available and commonly given as prevention to cancers.

    >The viral infection is very contagious especially to the pt with them.

    This is again to the best of my knowledge not exactly proven but epidemics do appear to occur and from the epidemiology studies available at Spring and Autumn (Fall). This information may be skewed by school populations who in the past have been screened at these times. The very risk of cross infection would of course need to regarded and weighed against immunity which follows infection.

    >If the person has had vp and they have been eradicated .

    Again as I understand the VP goes because the body has developed an immunity. Hence no further outbreak would be possible. There are several strains of virus so it is possible to have another infection but not from the same strain which the body has an immunity to.

    >are newly aquired vp more likely to have a quicker resolution than those that the pt has had for 'years and years'.?

    There are no studies but the common belief would be in accord with the above. People do develop immunity (with no treatment) and the shelf life of the verruca is estimated about two years. Longer standing lesions are either misdiagnosed or for some reason the immune system is compromised.

    >Those pts that have several goes at home treatment or who give up tt when it gets bogged down, as the vp builds resistance to a particular tt will this produce new vp types in the way that in the same way that bacteria develops ways around AB's and develop superbugs.

    Again to the best of my knowledge there is no evidence to support this but it is a commonly held belief. Something which I think compounds this scenario is many warts are misdiagnosed and once treatment commences, no clincal reappraisal takes places, the potential for a vascular corn for example, classed as an wart , will not respond to physical or chemical care.

    toeslayer
     
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