Patient's Query
Hi doctor,
How can you tell the difference between a flat wart and a mole or freckle? Can flat warts also be brown? Or flat warts can only be brown for brown-colored skin?
Hi,
Welcome to icliniq.com.
Wart lesions could be sessile, pedunculated (cauliflower-like), giant, painless, and the variant is verrucae. Flat warts are not completely flat; they are little bit raised (sessile). Mole or freckles are flat or patch, macular variants. Moles could be congenital or acquired (dysplastic nevi). Freckles occur in fair skin individuals with prolonged sun exposure. Do you have any suspicious-looking warts or moles, or freckles with irregular margins? Any change in size or shape, or color noticed? Or do you have any wart-like lesions?
Patient's Query
Hi doctor,
Thank you for the reply. I have a lot of moles and freckles all over. I had mole checks and a full body check up last month. However, when I read an article about flat warts, I questioned the moles or freckles in my groin or butt area. In regular light, they look like freckles and are very similar to those all over my arms. However, when I was outside in the sun last month, it looked similar to the image I saw on the internet, so it made me question it.
Hi,
Welcome back to icliniq.com.
It appears to be dysplastic nevi. The differential diagnosis is sessile verrucae. Please follow these steps. Avoid direct sunlight. Apply Photostable sunscreen daily at 9 am, 12 pm, and 3 pm for two months. Moisturize skin daily with Cetaphil or Venusia Max lotion for two months. Avoid scratching and rubbing lesions. Observe for any changes in mole or nevi. Self-examination is required. Avoid using shared or old razors. Moisturize skin frequently. Use Cetrimide soap for one month to bath. Wear loose, comfortable thin cotton clothes or inners. Avoid occlusion or friction. Co2 (carbon dioxide) laser is a treatment option for cosmetic purposes and early results.
Patient's Query
Hi doctor,
Thank you for the reply. Is that a mole? Or are you saying it is a wart? You just said both.
Hi,
Welcome back to icliniq.com.
It is a dysplastic nevus (benign, harmless lesions). Some of the lesions (picture unclear) appear to be verrucae (sessile warts) in the last image (attachment removed to protect the patient's identity). Do not worry. Stay relaxed. Get a personal examination done and get it removed by laser.
Patient's Query
Hi doctor,
Thank you for the reply. Is this the one unclear? Or the others? One thing to ask, if it is a wart, Does it not spread or go away by now if I have had them for years? Or no? Thank you in advance.
Hi,
Welcome back to icliniq.com.
Yes, this appears to be a sessile wart. Treatment of choice is electrodesiccation or thermal cautery or CO2 (carbon dioxide) laser. Some warts stay for long, without spreading.
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Answered byDr. Dhepe Snehal Madhav
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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