Warts and verrucas - Diagnosis 

Diagnosing warts and verrucas 

The rough, irregular surface of the common wart, also known as verruca vulgaris  

Your GP will be able to diagnose the type of wart that you have based on:

  • the appearance of your wart
  • where it is positioned on your body
  • the effect it has had on the surrounding skin

Due to their distinctive appearance, warts and verrucas are usually easy to identify through a visual examination of the affected area. Your GP will consider the following when they examine your wart:

  • the number of warts you have
  • where they are located on your body
  • the size of the wart
  • the shape of the wart
  • the colour of the wart
  • the texture of the wart’s surface

Your GP may gently cut away the surface of the wart to reveal a small black dot in the centre. If this is present, it will confirm that you have a verruca (plantar wart).

If you have a partner, your GP may ask you whether they also have warts, or whether any other members of your family have them.

Ruling out other conditions

By carrying out a thorough examination of your wart, your GP will also be able to consider any other possible causes and rule out any underlying conditions. Some of these are outlined below.

  • Corns and calluses: areas of thick, dry skin that are often yellow in appearance and caused by excessive pressure or friction.
  • Skin tag: a skin-coloured, benign (non-cancerous) growth of skin that usually develops on the neck, armpit and torso (upper body). Skin tags are usually painless.
  • Molluscum contagiosum: a contagious skin infection that is caused by the molluscum contagiosum virus. It produces small, firm, raised spots on the skin.
  • Moles: small, dark marks on your skin that can be flat or raised, smooth or rough. They may sometimes look similar to a cluster of filiform warts.
  • Seborrhoeic keratosis: common, benign skin lesions that are usually brown or black in colour.
  • Solar keratosis: scaly, rough spots that appear on skin that has been damaged by the sun.
  • Squamous cell carcinoma: a common type of skin cancer that appears as crusted lumps that are tender and slow-growing. It is very rare for existing warts to develop into a type of cancer, but the possibility will need to be ruled out.

Referral to a specialist

If your GP is concerned about your wart after carrying out an examination, they may refer you to a skin specialist (dermatologist) who will be able to assess your wart and confirm a diagnosis. However, in most cases, referral to a dermatologist is not necessary.

Last reviewed: 16/11/2010

Next review due: 16/11/2012