Elena Chulkova, Head of the Department of Internal Medicine at Synergy University, PhD, and oncologist, told RuNews24.ru the truth about papillomas and their impact on health.
From a medical perspective, it's important to differentiate terms correctly. Papillomas are typically associated with the human papillomavirus (HPV), which can indeed cause skin growths. However, in everyday life, many people mistakenly use this term to refer to any small, benign skin growths.
As Elena Chulkova noted, there is no direct cause-and-effect relationship between HPV-induced papillomas and conditions such as insulin resistance or liver disease. The virus primarily affects cells of the skin and mucous membranes, and its presence does not indicate systemic metabolic disorders.
Acrochordons and their connection to diseases
"Often mistakenly referred to as papillomas, acrochordons (soft fibromas) have a different nature and can serve as markers of systemic diseases. Scientific studies show that multiple acrochordons can be signs of insulin resistance or hyperinsulinemia. High insulin levels promote skin cell proliferation, which is what leads to the formation of acrochordons. Therefore, the presence of multiple skin lesions may prompt a referral to an endocrinologist for a more in-depth examination," explains the doctor.
Spontaneous disappearance of papillomas
One interesting aspect is the ability of HPV-induced papillomas to disappear on their own. The effectiveness of cellular immunity determines the ability of T lymphocytes to recognize and destroy infected keratinocytes. According to peer-reviewed literature, up to 78% of common warts experience spontaneous regression, especially in children and adolescents. In contrast, acrochordons, not being virally associated, do not resolve on their own and require mechanical removal if they pose an aesthetic concern.
How to distinguish a papilloma from other growths?
To properly assess the skin's condition, it is important to know that self-diagnosis is not reliable. Benign growths, such as seborrheic keratosis or melanoma, can mimic a papilloma. A definitive diagnosis can only be made by a dermatologist using dermatoscopy or histological examination.
Elements requiring attention include:
- Asymmetry (A): The edges of the growth are not symmetrical.
- Borders (B): Irregular or cloudy edges.
- Color (C): Uneven coloring.
- Diameter (D): More than 6 mm in size.
- Evolution (E): Any changes in the growth.
If you notice even a few of these signs, it's highly recommended to consult a dermatologist.
Finally, questions about the connection between papillomas and systemic diseases require a clear understanding. While HPV-induced papillomas themselves are not a sign of serious illness, acrochordons can signal metabolic disorders, such as insulin resistance. Paying attention to your skin lesions and consulting a doctor promptly will help avoid potential complications and maintain your health.