Social wart - A solid and flat formation on the skin of the feet, slightly imposing above its level and covered by a layer of keratinized epithelium. The main method for diagnosing a watery wart is Dermatoskopiya. The position of the warp on the only door to its constant injury and the occurrence of pain during the walk. For this reason, plantar warts often requires treatment, although it can transmit alone. The removal methods include cryotherapy, electrocoagulation, removal by a radio or laser wave apparatus.
General information
The plantar wart refers to benign skin neoplasms and is about 34% of all warts. Dermatology is engaged in the diagnosis and treatment of warts. The use of folk methods to get rid of the warts and cars -mars is extremely undesirable. The plantar wart has a root that is deeply going in the skin and its incomplete removal will lead to a new increase in the wart and excessive damage to the surrounding tissues - to the appearance of warts in other parts of the body.
The causes of subsidiary
Papillomas, condition and all types of warts (ordinary, dishes, filamentosis, planar) 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 wet and warm environment. Therefore, HPV infection often occurs in swimming pools, saunas, bathrooms and gyms. With a sufficiently strong operation of the immunity of HPV in the human body, it is expected 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 above 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 the skin of the foot; Various foot deformations (flat feet, deformal osteoarthritis, arthritis of the small joints of the foot); Diseases that compromise trophic foot tissues (diabetes mellitus, varicose veins of the lower limbs, atherosclerosis, etc. ), damage to the skin of the foot.
Manifestations of a waters plantar
The plantar wart is a solid and clearly delimited seal on the sole. Very often, it has an oval or rounded shape of about 1-2 cm. Education of 1-3 mm protrudes above the total level of the skin. The color of the skin in the area of the wart of footbed has usually changed, but it can be light brown or pink.
The surface of the wart at the beginning of its formation is smooth. Over time, it is covered with cheerinated epidermis scanches, becomes rough and acquires a gray yellow shade. Sometimes in the center of the ward by plantar, the pause of Crateropodobnoe is noted. The black brown points, which can often be seen on the surface of the wart, are due to the superficial capillaries of TrombiRivaniem.
As a rule, the plantar wart is single. The appearance of the branches indicates the high activity of the virus. More warts give a mosaic design to the interested area of the sole, for which they were called "mosaic warts".
You can observe an independent disappearance of the ward by plantar. In this case, there is no trace on the skin of the foot. But more often, due to constant injuries, the resolution of the wart does not occur. Not painful in itself, it begins to cause significant discomfort and even severe pain associated with friction and pressure of the wart about the shoes sole.
Diagnostic of a waters plantar
In its appearance, the plantar wart often recalls 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 study the training, the doctor has pre -school the upper layers of the keratinized epithelium. The absence of a leather model on the surface of education and the identification of a characteristic symptom of the "thrombus capillaries" speaks in favor of a plantar wart. Positive results of PCR diagnosis at HPV confirm the patient's inficirovannost.
To determine the depth of the germination of the plantar wart, the patient is prescribed an ultrasound of skin education. In case of suspicion of a malignant nature, a consultation is carried out with a deduced oncologist. When identifying deformations and foot diseases, podologist consultation is required.
Podoshvennuyu The wart is differentiated with KeatoDermiei and palm trees with Raytera syndrome. The smaller dimensions of the education are not conical, but a flat shape, a symptom of "thrombic capillaries" and the lack of inflammatory changes around the keratinized layers allow to distinguish the verruca of Podoshvennuyu from the cheratoodermi. Sophiloidia sophisticated by Ladomarie has a certain similarity with the waters plantar. They are distinguished from the latter multiple, innovation and characteristic arrangement in the form of rings or arches, a positive RPR test for syphilis.
Plantar wart treatment
The removal of the witch's 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 suitable for getting rid of a wart. Its use is possible only in the case of a superficial arrangement of the plantar wart and is often complicated by the formation of the scar.
The good results are given by the corodester of the wart. Its result depends on the experience of the doctor, since too profound exposure can lead to the healing of the wound with the formation of the scar and too superficial to the relapse of the wart. After processing with liquid nitrogen on the wart site, it remains a blister, which cannot be wounded until its healing (about 7 days). The removal of the laser provides the best cosmetic result and allows you to adjust the depth of exposure in the most optimal way. The removal of laser warts is performed quickly and painlessly and healing takes several days.
To remove the plantar wart, you can also use a radio wave method in which the wart is cut from the radio with a knife. At the same time, the vases are cauterized, which prevents bleeding and entry of the virus from the wart to the blood. Surgical excision is suitable for large planar cards. It is carried out by the ordinary napkin under local anesthesia and can be complicated by the formation of the scar.
Prevention of the witch plantar
The primary prevention of the appearance of a waters plantar is preventing HPV infection. Particular attention should be paid to wearing individual shoes in showers, pools and public bathrooms. Not of little importance, especially for people with stop diseases, is the correct care of the skin of the feet: regular pedicure, feet accumulation and their processing Razmyagchayuschimi by means.
Patients with deformation of the arrest should use orthopedic sun, orthosis and the concealer unloading. With an increase in the sweating of the feet, it is important to select shoes from natural materials and use drying products. With dryness and cracks on the skin of the soles, nourishing and moisturizers are needed, therapeutic legs for the legs.
The secondary prophylaxis of the ward plantar consists in prescribing the patient together with the removal of a wart of antiviral drugs and immune correctors.