Social wart - A solid and flat formation in the skin of the feet, slightly high above its level and covered with a layer of keratinized epithelium. The main method to diagnose a plantar wart is dermatoskopiya. The location of the warp in the only time leads to its constant injury and the appearance of pain during the walk. For this reason, plantar wart requires treatment, although it can pass on its own. Elimination methods include cryotherapy, electrocoagulation, elimination of a radio or laser waveplay.
General Information
The plantar wart refers to benign skin neoplasms and is approximately 34% of all warts. Dermatology is dedicated to the diagnosis and treatment of warts. The use of popular methods to get rid of warts and self -medication is extremely undesirable. The plantar wart has a root that goes deeply in the skin and its incomplete elimination will lead to a new increase in the wart and excessive damage to surrounding tissues, to the appearance of warts in other parts of the body.
The causes of the subsidiary
Papillomas, condylomas and all kinds of warts (ordinary, flat, filamentary, planting) have the same nature: the infection of the body with the papillomavirus (HPV). The virus spreads among people through infected skin cells (in contact). The most favorable for him is a humid and warm atmosphere. Therefore, HPV infection often occurs in pools, saunas, bathrooms and gyms. With sufficiently strong functioning of HPV immunity in the human body, it remains in a latent state and does not give clinical manifestations. A failure in the immune system leads to the activation of the virus and the appearance in the skin of the previous formations.
Excessive sweating (hyperhidrosis) or dry skin of the skin can contribute to the development of a plantar wart; uncomfortable shoes that cause compression or friction of foot skin; Various foot deformations (flat feet, deforming osteoarthrosis, arthritis of the small joints of the foot); Diseases that lead to deteriorated trophic tissues (diabetes mellitus, varicose veins of the lower extremities, atherosclerosis, etc. ), damage to the skin of the foot.
Manifestations of a plantar wart
The plantar wart is a solid and clearly delimited seal in the sole. Very often, it has an oval or rounded shape and size of approximately 1-2 cm. 1-3 mm education stands out above the total skin level. The skin color in the plantar wart area generally does not change, but it can be light brown or pink.
The surface of the wart at the beginning of its formation is soft. Over time, it is covered with broches of the keratinized epidermis, becomes rough and acquires a gray yellow tone. Sometimes, in the center of the plantar wart, the recess of Kratopodobnoe is observed. Black brown points, which can often be seen on the surface of the wart, are due to surface thrombirivaniem capillaries.
As a general rule, plantar wart is single. The appearance of subsidiaries indicates the high activity of the virus. Multiple warts give a mosaic drawing to the affected area of the sole, for which they were called "mosaic warts. "
An independent disappearance of the plantar wart can be observed. In this case, there is no trace on foot skin. But more often, due to a constant injury, the resolution of the wart does not happen. It is not painful in itself, it begins to cause significant discomfort and even acute pain associated with friction and the pressure of the wart in the shoes sole.
Diagnosis of a plantar wart
In its appearance, plantar wart is often resembled to a corn or a section of skin hyperkeratosis. Only a professional dermatologist can distinguish it from these formations. For this, Dermatoskopiya is carried out. To better investigate the training, Dr. Pre -recorting the upper layers of the keratinized epithelium. The absence of a skin pattern on the surface of education and the identification of a characteristic symptom of "thrombus capillaries" speaks in favor of a plantar wart. The positive results of the PCR diagnosis to HPV confirm the patient's Inficirovanno.
To determine the depth of the germination of the plantar wart, an ultrasound of skin education is prescribed to the patient. In case of suspicion of evil nature, a consultation with a dermato oncologist is carried out. By identifying the deformations and diseases of the foot, podiatry consultation is necessary.
Podoshvennuyu The wart differs with soles and palms of keratodermiei with Raytera syndrome. The smallest size of education is not conical, but a flat shape, a symptom of "thrombics" capillaries and the lack of inflammatory changes around the keratinized layers allow to distinguish the Verruga Podoshvennuyu of the keratodermi. The sophisticated sipiloid of Ladomary has some similarity to the plantar wart. They are distinguished from the last multiple, painless and characteristic disposition in the form of rings or arches, a positive RPR test for syphilis.
Plantar wart treatment
The elimination of plantar wart is complicated by its deepest, compared to other types of warts, germination in the dermis. For this reason, electrocoagulation, for example, is not always adequate to get rid of a wart. Its use is only possible in the case of a superficial arrangement of the plantar wart and is often complicated by the formation of the scar.
Good results are given by warting. Its result depends on the doctor's experience, since the exposure too deep can lead to the healing of the wound with the formation of the scar, and too superficial for the relapse of the wart. After processed with liquid nitrogen on the wart site, there is a blister, which cannot be injured until its healing (approximately 7 days). Laser elimination offers the best cosmetic result and allows you to regulate the depth of exposure in the most optimal way. The elimination of the laser wart is carried out quickly and without pain, and healing takes several days.
To eliminate plantar wart, you can also use a radio wave method in which the wart is cut by the radio with a knife. At the same time, the vessels are caulbond, which avoids bleeding and the entrance of the virruga virus into the blood. Surgical split is suitable for large plantar tables. It is carried out by the ordinary scalpel under local anesthesia and can be complicated by the formation of the scar.
Plantar wart prevention
The primary prevention of the appearance of a plantar wart is to prevent HPV infection. Special attention should be paid to the mandatory use of wearing individual shoes in public showers, swimming pools and bathrooms. Of no little importance, especially for people with stop diseases, it is the proper care of the skin of the feet: regular pedicure, stacking of the feet and their processing Razmyagchayuschimi by means.
Patients with the deformation of the stop should use orthopedic templates, orthosis and corrective discharge. With greater sweating feet, it is important to select natural material shoes and wear drying products. With dryness and cracks on the skin of plants, nutritious and moisturizers, therapeutic bathrooms are needed for the legs.
The secondary prophylaxis of the plantar wart consists in prescribing the patient together with the elimination of a wart of antiviral drugs and immuno corrective.