Wart - A solid and flat formation on the skin of the legs, slightly elevated 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 sole of the sole leads to its constant injury and the onset of pain while walking. For this reason, the plantar wart often requires treatment, although it can undergo itself. Removal methods include cryotherapy, electrocoagulation, equipment removal or laser.
General information
The plantar wart refers to benign neoplasms of the skin and is approximately 34% of all warts. Dermatology deals with the diagnosis and treatment of warts. The use of folk methods for getting rid of warts and self -self -esteem is extremely undesirable. The plantar wart has a root that deeply enters the skin and its incomplete removal will lead to a new enlargement of the wart and excessive damage to the surrounding tissues - to the appearance of warts in other parts of the body.
The reasons for the subsidiary
Papillomas, warts and all kinds of warts (ordinary, flat, filaments, plantar) have the same nature - infection of the body with papilloma virus (HPV). The virus spreads to people through infected skin cells (in contact). The most favorable for him is a wet and warm environment. Therefore, HPV infection is common in pools, saunas, bathrooms and gyms. With sufficient functioning of HPV immunity in the human body, it resides in a latent state and does not give clinical manifestations. Failure in the immune system leads to the activation of the virus and the appearance of the skin of the upper 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 rubbing the skin of the foot; various deformities of the foot (flat legs, deformation of osteoarthrosis, arthritis of the small joints of the foot); Diseases leading to impaired trophic tissues of the foot (diabetes mellitus, varicose veins of the lower limbs, atherosclerosis, etc. ), damage to the skin of the foot.
Plants
The plantar wart is a solid, clearly distinguished seal on the sole. Most often it has an oval or rounded shape and a size of about 1-2 cm. Education with 1-3 mm protrudes above the total skin level. The skin color in the plantar wart area usually does not change, 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 fasteners of the keratinized epidermis, it becomes rough and acquires a gray-yellow hue. Sometimes in the center of the plantar wart is noted a kratepodobnoe indentation. The black and brown spots, which can often be seen on the surface of the wart, are due to the surface capillaries of the thrombi.
As a rule, the plantar wart is single. The appearance of subsidiaries shows the high activity of the virus. Many warts give a mosaic drawing to the affected area of the sole, for which they are called "mosaic warts".
An independent disappearance of the plantar wart may be observed. In this case, there is no trace on the skin of the foot. But more often, due to constant injury, resolving 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 pressure of the wart on the sole of the shoes.
Panther's diagnosis
In its appearance, the plantar wart often looks like corn or part of skin hyperkeratosis. Only a professional dermatologist can distinguish it from these formations. For this, Dermatos is performed. In order to be more well examined, the doctor pre -directs the upper layers of the keratinized epithelium. The lack of a skin model on the surface of education and identifying a characteristic symptom of "Capillary Thrombie" speak in favor of a plantar wart. Positive PCR results diagnosis of HPV confirm the patient inficirovannost.
In order to determine the depth of germination of the plantar wart, the patient is prescribed an ultrasound of skin education. In the case of suspicion of malignant nature, a consultation with a dermatologist is performed. When identifying deformities and diseases of the foot, a consultation on Podologa is required.
Podoshvennuyu The wart is differentiated with keratoderma soles and palms with Raytera syndrome. The smaller size of education is not conical but a flat form, a symptom of "thrombic capillaries" and the lack of inflammatory changes around keratinized layers allow you to distinguish the wart podoshvennuyu from keratoderma. Ladomary-Sophisticated sifiloidy have some similarity to the plantar wart. They differ from the last multiple, painless and characteristic arrangements in the form of rings or arcs, a positive RPR test for syphilis.
Plantar wart
The removal of the plantar wart is complicated by its deeper, 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 only possible in the case of a shallow arrangement of the plantar wart and is often complicated by the formation of the scar.
Good results are given by cryodestruction of the wart. Its result depends on the experience of the doctor, as too deep exposure can lead to the healing of the wound with the formation of the scar and too superficial to relapse of the wart. After treatment with liquid nitrogen, a blister remains in place of the wart, which cannot be injured until healing (about 7 days). Laser removal gives the best cosmetic result and allows you to adjust the depth of exposure in the most optimal way. Removing laser warts is done quickly and painlessly, and healing takes several days.
To remove the plantar wart, a radio wave method can be used, in which the wart is cut on the radio with a knife. At the same time, the vessels are cauterized, which prevents the bleeding and entry of the virus from the wart in the blood. Surgical excision is suitable for large -sized plantar boards. It is performed by a simple scalpel under local anesthesia and can be complicated by the formation of the scar.
Prevention of plantar wart
The main prevention of the onset of a plantar wart is to prevent HPV infection. Particular attention should be paid to the mandatory wearing of individual shoes in public showers, pools and bathrooms. It is little importance, especially for people with stop diseases, it is not appropriate care for the skin of the feet: regular pedicure, accumulation of the legs and their treatment razmyagchayuschimi using the help.
Patients with stop deformation should use orthopedic insoles, orthosis and discharge of the concealer. With increased sweating of your feet, it is important to choose shoes made of natural materials and use drying products. Dryness and cracks on the skin of the soles, nutrients and moisturizers require therapeutic baths for the feet.
The secondary prophylaxis of the plantar wart consists in prescribing the patient along with the removal of an antiviral drugs and immune -correlectors.