Social wart - Solid and flat formation on the skin of the feet, slightly raising above its level and covered with a layer of keratinized epithelium. The main method for diagnosing a plantar wart is dermatoskopiya. The location of the umbrella in the sole leads to its constant injury and the occurrence of pain during the walk. For this reason, plantar wart usually requires treatment, although it can go through its own. Removal methods include cryotherapy, electrocoagulation, removal from a radio or laser waveplay.
general information
Plantar warts refers to benign skin neoplasms and is approximately 34% of all warts. Dermatology is involved in the diagnosis and treatment of warts. The use of folkloric methods to get rid of warts and self -medication is extremely undesirable. Plantar wart has a root that is deeply entering the skin and its incomplete removal will lead to a new increase in 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 types of warts (common, plans, philamentors, plantares) have the same nature - body infection with the papilloma virus (HPV). The virus spreads among people through infected skin cells (in contact). The most favorable for him is a humid and hot environment. Therefore, HPV infection often occurs in pools, saunas, baths and gyms. With a sufficiently strong function of HPV immunity in the human body, it remains in a latent state and does not provide clinical manifestations. A failure in the immune system leads to the activation of the virus and the appearance on the skin of the formations above.
Excessive perspiration (hyperhydrosis) or dry skin of the skin can contribute to the development of a plantar wart; Uncomfortable shoes that cause compression or friction of the skin of the foot; Various deformations of the foot (smooth feet, osteoarthritis deforming, arthritis of the small joints of the foot); Diseases that lead to impaired trophic tissues (diabetes mellitus, varicose veins of the lower ends, atherosclerosis, etc. ), damage to the skin of the foot.
Manifestations of a plantar wart
Plantar wart is a solid seal and clearly delimited in the sole. Most of the time, it has an oval or rounded shape and a size of about 1-2 cm. 1-3 mm education projects above the total level of the skin. The color of the skin in the area of plantar wart is usually not changed, but can be light or pink brown.
The surface of the wart at the beginning of its formation is smooth. Over time, it is covered with keratinized epidermis' fecos, becomes rough and acquires a shade of gray yellow. Sometimes, in the center of the plantar wart, Krateropodobnoe's recess is observed. Black-brown points, which can usually be seen on the surface of the wart, are due to the superficial trombirivaniem capillaries.
As a rule, plantar wart is single. The appearance of subsidiaries indicates the high activity of the virus. Several warts give a mosaic design to the affected area of the sole, for which they were called "mosaic warts. "
A disappearance regardless of plantar wart can be observed. In this case, there are no traces on the skin of the foot. But more often due to constant injuries, the wart resolution does not occur. It is not painful by itself, it begins to cause significant discomfort and even acute pain associated with friction and pressure of wart in the sole of the shoes.
Diagnosis of a plantar wart
In its appearance, the plantar wart usually resembles a corn or a section of skin hyperkeratosis. Only a professional dermatologist can distinguish it from these formations. For this, Dermatoskopiya is performed. In order to better investigate training, the doctor pre -cried 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" speak in favor of a plantar wart. Positive results of PCR diagnosis in HPV confirm the infringing patient.
To determine the depth of plantar wart germination, the patient receives an ultrasound of skin education. In the event of a malignant suspicion, an appointment is made with a dermat oncologist. When identifying foot deformations and diseases, podiatry consultation is required.
Podoshvennuyu Versa is differentiated with Keratoderi soles and palm trees with Raytera syndrome. The smaller size of education is not conical, but the flat form, a symptom of "thrombus capillaries" and the lack of inflammatory changes around keratinized layers allow us to distinguish the wartar podoshvenuyu from the keratoderm. Syphiloidia Ladomary-Saphysics has some resemblance to plantar wart. They are distinguished from the latest, painless and characteristic multiple arrangement in the form of rings or arches, a positive RPR test for syphilis.
Treatment of Plantar Wart
The removal of plantar wart is complicated by its deep, compared to other types of warts, germination in the dermis. For this reason, electrocoagulation, for example, is not always suitable to get rid of a wart. Its use is possible only in the case of a surface arrangement of plantar wart and is usually complicated by the formation of the scar.
Good results are given by the creation of the wart. Its result depends on the doctor's experience, as deep exposure can lead to healing the wound with the formation of the scar and too superficial for the relapse of the wart. After processing with liquid nitrogen at the wart site, it remains a bubble, which cannot be injured until it was cured (about 7 days). Laser removal provides the best cosmetic result and allows us to regulate exposure depth in the most ideal way. Laser wart removal is performed quickly and painlessly, and healing takes several days.
To remove plantar wart, a radio wave method can also be used in which the wart is cut by the radio with a knife. At the same time, the vessels are precautionary, which prevents bleeding and entry of the virus from the blood to the blood. Surgical excision is suitable for large -size plantar plates. It is performed by the common scalpel under local anesthesia and can be complicated by the formation of the scar.
Prevention of Plantar Wart
The primary prevention of the appearance of a plantar wart is to prevent HPV infection. Special attention should be given to mandatory shoes in public baths, swimming pools and baths. Little importance, especially for people with stopping diseases, is proper care of the skin of the feet: regular pedicure, foot stacking and its processing of Razmyagchayuschimi by means.
Patients with stop deformation should use orthopedic insoles, orthosis and unloading broker. With increasing foot sweating, it is important to select natural materials and use drying products. With dryness and cracks in the skin of soles, nutritious and moisturizing, therapeutic baths are required for the legs.
The secondary prophylaxis of plantar warts consists of prescribing the patient, along with the removal of a wart of antiviral medications and immunity brokers.