Plantar wart

Plantar wart — hard and flat formation on the skin of the foot is slightly raised above its level, and covered with a layer of keratinized epithelium. The main method of diagnosis of plantar warts — dermatoskopiya. The location of the warts on the soles leads to permanent injury and cause of pain while walking. For this reason, plantar warts often require treatment, though, and can pass on their own. Methods of removal include cryotherapy, electrocoagulation, removal of the radio device or laser.

plantar wart

General information

Plantar warts are benign tumors of the skin and accounts for approximately 34% of all warts. The diagnosis and treatment of warts does dermatology. The use of traditional methods of getting rid of warts and self medication is highly undesirable. Plantar wart is deeply leaving the skin, root and incomplete removal will lead to a new growth, warts, and unwanted damage to surrounding tissue — the appearance of warts on other areas of the body.

Causes of plantar warts

Papillomas, warts, and all types of warts (common, flat, filiform, plantar) are of the same nature — the infestation of the body by the human papilloma virus (HPV). The virus spreads among humans via infected cells of the skin (by contact). The most favorable is the moist and warm environment. Therefore, HPV infection often occurs in swimming pools, saunas, baths and gyms. When strong enough the work of immune system HPV in the human body remains dormant and does not provide clinical manifestations. The failure of the immune system leads to the activation of the virus and the appearance on the skin of the above mentioned entities.

The development of plantar warts can contribute to excessive sweating (hyperhidrosis) or dryness of the skin of feet, uncomfortable shoes that causes a compression or friction of the skin of the foot; the various foot deformities (flat feet, deforming osteoarthritis, arthritis of the small joints of the foot); of the disease, leading to disruption of the trophic tissue of the foot (diabetes, varicose veins of the lower extremities, atherosclerosis, etc.), skin lesions of the foot.

Symptoms plantar warts

A plantar wart is a clearly demarcated solid seal on the sole. It often has an oval or round shape and a size of about 1-2 cm Education 1-3 mm protrudes above the General level of the skin. The color of the skin in the area of the plantar warts is not usually changed, but can be light brown or pink.

The surface of the wart at the beginning of its education smooth. Over time, it is covered with layers of keratinized epidermis becomes rough and becomes gray-yellow. Sometimes in the middle of the plantar warts is marked krateropodobnoe deepening. Black-brown points, which can often be seen on the surface of the wart, caused by trombirivaniem superficial capillaries.

Typically, the plantar wart is sporadic. The new subsidiary of warts indicates a high activity of the virus. Multiple warts impart a mosaic pattern the affected area of the sole, for which he was called "mosaic warts."

May occur independent the disappearance of plantar warts. In this case, on the skin of the foot there is no trace. But more often, due to constant injury, the resolution of warts does not occur. Not painful by itself, it starts to cause the patient considerable discomfort and even sharp pain associated with friction and pressure warts on the sole of the Shoe.

Diagnosis of plantar warts

On the appearance of the plantar wart often resembles a callus or area of skin hyperkeratosis. To distinguish it from these formations can be only a professional dermatologist. This is dermatoskopiya. To better study the education the doctor pre-produce scraping off the top layers of dead skin epithelium. The lack of skin pattern on the surface of the formation and identification of the characteristic symptom of "thrombosed capillaries" speak in favor of plantar warts. Positive results of PCR diagnostics for HPV confirm inficirovannost of the patient.

To determine the depth of germination of plantar warts, the patient is prescribed ultrasound of skin lesions. If you suspect the malignant nature of education consultation dermato Oncology. The detection of deformities and diseases of the foot is necessary to consult podologa.

Podoshvennuyu wart differencebut with keratodermiei soles and palms syndrome Raytera. Smaller entities not conical and flat shape, a symptom of "thrombosed capillaries" and the absence of inflammatory changes around the keratinized layers allow to distinguish a wart from podoshvennuyu keratodermii. Palmar-plantar sifiloidy have some similarities with a plantar wart. From the latter they are distinguished by multiple, painless and characteristic arrangement in the form of rings or arcs, a positive RPR test for syphilis.

Treatment of plantar warts

treatment of plantar warts

Plantar wart removal is complicated by its deeper than other types of warts grow into the dermis. For this reason, electrocoagulation, for example, is not always suitable for getting rid of warts. Its application is possible only in the case of shallow location of plantar warts and is often complicated by scar formation.

Gives good results with cryosurgery warts. The result depends on the skills of the doctor, as too much exposure can lead to the healing of the wound with scarring, and too shallow — to a recurrence of the warts. After treatment with liquid nitrogen on the site of the wart remains blister, which can't be hurt until it is healing (about 7 days). Laser removal gives the best cosmetic result and allows you to adjust the depth of influence the most optimal way. Removal of warts by laser is quick and painless, and the healing takes a few days.

For removal of plantar warts may also be used on the radio wave method in which the wart is cut out of the radio with a knife. At the same time cauterizing blood vessels, which prevents the bleeding and penetration of the virus of warts in blood. Surgical excision is suitable for plantar warts of large size. It is conducted in a conventional scalpel under local anesthesia and may be complicated by scarring.

Prevention of plantar warts

Primary prevention of plantar warts is to prevent infection with HPV. Special attention should be given to mandatory wearing of individual shoes in public showers, pools and baths. Equally important, especially for people with diseases of the feet, has the correct skin care stops: a regular pedicure, exfoliation of feet and their processing razmyagchayuschimi means.

Patients with deformity of foot is necessary to use orthopedic insoles, the orthotic devices unloading proofreaders. When excessive sweating feet it is important to choose shoes from natural materials and use drying tools. When dry, and cracks in the skin of the soles of the necessary nourishing and moisturizing creams, medicated foot bath.

Secondary prevention of plantar warts lies in the appointment along with removing warts, antivirals and immuno-correctors.