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Doctors believe that Kosawa's case was a perfect storm, created by a genetically inherited immune defect and a type of human papillomavirus, or HPV. Kosawa told doctors that the warts started appearing after getting a cut in his skin as a teenager. There are hundreds of types of HPV, some of which are linked to cervical cancer and others that cause common warts that can be acquired through cuts.
"The HPV-2 virus that causes common warts is the same exact wart virus that he's infected with, except it was growing out of control," Gaspari said.