Social wart - Solid and flat formation on the scalp, slightly high above its level and covered with a keratinized epithelial layer. The main method for diagnosing plantar warts is dermatoscopy. The location of the warp in one one leads to persistent injuries and pain during walking. For this reason, plantar warts often require treatment, although they can pass on their own. The removal methods include cryotherapy, electrocoagulation, removal by radio or laser waves.
General information
Plantar warts refer to benign skin neoplasms and about 34% of all warts. Dermatology is involved in diagnosis and treatment of warts. The use of folk methods to get rid of warts and self -esteem is very unwanted. Plantar warts have very roots into the skin and its incomplete removal will lead to new improvements in warts, and excessive damage to the surrounding tissues - for the appearance of warts in other parts of the body.
The cause of a subsidiary
Papillomas, condylomas and all kinds of warts (ordinary, flat, filaments, plantar) have the same properties - body infections with papilloma virus (HPV). The virus spreads among people through infected skin cells (in contact). The best thing for him is the wet and warm environment. Therefore, HPV infections often occur in pools, sauna, baths and gyms. With the strong function of HPV immunity in the human body, it remains in latent conditions and does not provide clinical manifestations. Failure in the immune system leads to the activation of the virus and appearance on the formation skin above.
Excessive sweat (hyperhidrosis) or dry skin can contribute to the development of plantar warts; uncomfortable shoes that cause compression or friction of the skin; various foot deformations (flat feet, osteoarthrosis deformation, small joint arthritis); Diseases that lead to the trophic tissue affected (diabetes mellitus, varicose veins from the lower leg, atherosclerosis, and others), damage to the scalp.
Manifestation of plantar warts
Plantar warts are a solid and clear seal restricted at one. Often, it has an oval or round shape and a size of about 1-2 cm. Education by 1-3 mm stands above the overall level of the skin. The color of the skin in the plantar wart area is usually unchanged, but can be light brown or pink.
The surface of the wart at the beginning of the formation is smooth. Over time, it is covered with clasps of keratinized epidermis, becoming rough and acquiring gray-yellow color. Sometimes in the middle of the plantar warts, krateropodobnoe rest. The black-brown spots, often seen on the surface of the warts, are caused by the superficial capillaries of the trombirivaniem.
As a rule, plantar warts are single. The emergence of subsidiaries shows high activities of the virus. Multiple warts give mosaic paintings to the affected area, where they are called "mosaic warts".
The free loss of plantar warts can be observed. In this case, there is no trace of the skin. But more often, due to persistent injury, warts resolution does not occur. Not painful by itself, it begins to cause significant discomfort and even sharp pain associated with friction and warts pressure on the first shoe.
Diagnostics of plantar warts
In its appearance, plantar warts often resemble corn or skin hyperkeratosis. Only professional dermatologists can distinguish it from this formation. For this, the dermatoscopy is performed. To better investigate the formation, the doctor is pre -stabilizing the top layer of the keratinized epithelium. The absence of skin patterns on the educational surface and the identification of symptoms of "Thrombus capillaries" speak in favor of plantar warts. Positive results of PCR diagnosis to HPV confirm inficirovannost patients.
To determine the depth of plantar expansion, the patient is prescribed skin education ultrasound. If suspected of malignant nature, consultation with dermato oncologists is carried out. When identifying deformation and foot disease, podological consultation is required.
Podoshvennuyu warts are distinguished by solar keratodermie and palms with raytera syndrome. Smaller education size is not a flat, but flat, "trombic capillary" symptoms and lack of inflammation changes around the keratinized layer allows to distinguish podoshvennuyu warts from keratodermi. Sifiloidy Ladomary-Sfisticated has a similarity to plantar warts. They are distinguished from various, pain and arrangement in the form of rings or arcs, positive RPR tests for syphilis.
Plantar wart treatment
The removal of plantar warts is complicated by deeper, compared to other types of warts, germination in the dermis. For this reason, electrocoagulation, for example, is not always suitable for removal of warts. Its use is only possible in the case of superficial arrangement of plantar warts and is often complicated by scarring.
Good results are given by cryodestruction warts. The result depends on the experience of the doctor, as too deep exposure can cause wound healing with scarring, and too shallow for warts relapse. After processing with liquid nitrogen at the site of the warts, the blisters remain, which cannot be injured until its healing (about 7 days). Laser removal provides the best cosmetic results and allows you to control the depth of exposure in the optimum way. The removal of laser warts is carried out quickly and painlessly, and healing takes several days.
To remove plantar warts, the radio wave method can also be used where the warts are cut by the radio with a knife. At the same time, the vessels are removed, which prevents the bleeding and inflation of the virus from the warts into the blood. Surgical isolation is ideal for large plantar boards. It is carried out by a regular knife under local anesthesia and can be complicated by scarring.
Prevention of plantar warts
The main prevention of plantar warts is to prevent HPV infection. Special attention should be paid to must wear individual shoes on shower, pool and bath. Not important, especially for people with stopping illnesses, is the right care of the skin: ordinary pedicures, feet and their razmyagchayuschimi processing in a way.
Patients with stop deformation should use orthopedic insoles, orthosis, and loading correction. With increased sweating, it is important to choose shoes from natural materials and use drying products. With dryness and cracking on the skin of the feet, nutritious and moisturizing, therapeutic baths for the feet are required.
Prophylaxis secondary warts plantar consists of prescribing patients together with the removal of antiviral drugs and immuno correction.