Social wart - A solid and flat formation on the skin of the feet, slightly spread over its level and covered with a layer of keratized epithelium. The main method for diagnosing a plantar competition is dermatoscopiya. The location of the chain on the sole leads to its constant injury and the occurrence of pain when walking. For this reason, the plantar warts often requires treatment, although it can pass on itself. The distance methods include cryotherapy, electrocoagulation, distance from a radio wave apparatus or a laser.
General information
The Plantarware is relating to benign skin neoplasms and is approximately 34% of all warts. Dermatology is involved with the diagnosis and treatment of warts. The use of folk methods to remove warts and self -medication is extremely undesirable. The plantar keeper has a root that goes deep into the skin, and its incomplete distance will lead to a new increase in warts and excessive damage to the 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 (usually, flat, filamentar, plantar) have the same type of body infection with the papilloma virus (HPV). In humans, the virus spreads through infected skin cells (in contact). The cheapest for him is a wet and warm environment. Therefore, an infection of HPV in pools, saunas, baths and gyms often occurs. With a sufficiently strong function of the immunity of HPV 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 to the occurrence of the skin of the formations mentioned above.
Excessive sweating (hyperhidrosis) or dry skin of the skin can help develop a plantar farm. Unpleasant shoes that cause the compression or friction of the skin of the foot; Different deformations of the foot (flat feet, deforming arthrosis, arthritis of the small foot fuks); Diseases that lead to impaired trophic foot tissue of the foot (diabetes mellitus, varicose veins of the lower extremities, atherosclerosis, etc. ), damage to the skin of the foot.
Manifestations of a plantar farm
The plantar farm is a solid, clearly distinguished seal on the sole. Most of the time it has an oval or rounded shape and size of about 1-2 cm. The training through 1-3 mm protrudes above the overall level of the skin. The skin color in the area of plantar warm usually does not change, but 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 closures of the keratized epidermis, becomes rough and acquires a gray-yellow color. Sometimes the crateropodobnea break in the middle of the Plantarware is called. Black -brown dots that can often be seen on the surface of the wart are due to superficial capillaries of the trombirivaniem.
As a rule, the plantar -warte is single. The appearance of subsidiaries shows the high activity of the virus. Several warts give the affected area of the sole a mosaic drawing for which they were referred to as "mosaic warts".
An independent disappearance of the plantar farm can be observed. In this case there is no trace on the skin of the foot. Due to the constant injury, however, the resolution of the wart does not occur. Not painful in itself, there are considerable complaints and even sharp pain that are connected to friction and pressure of the wart at the sole of the shoes.
Diagnostics of a plantar farm
In its appearance, the plantar warts often resemble a corn or skin skin hyperkeratosis. Only a professional dermatologist can distinguish it from these formations. For this, Dermatoscopiya is carried out. In order to better examine education, the doctor becomes the upper layers of the keratized epithelium in advance. The lack of a skin pattern on the educational surface and the identification of a characteristic symptom of "thrombus capillaries" speak in favor of a plantar wart. Positive results of the PCR diagnosis of HPV confirm the patient Inficirovannost.
In order to determine the depth of the germination of the plantar keeper, the patient is prescribed an ultrasound of the skin formation. In the event of a malignant nature, a consultation is carried out with a dermato uncologist. Podologa consultation is required when identifying deformations and diseases of the foot.
Podoshvennuyu The goods differ with keratodermiei sole and palm trees with Raytera syndrome. The lower size of the formation is not conical, but flat shape, a symptom of "thrombian capillaries" and the lack of inflammatory changes around keratized layers enables the Podoshvennuyu -Warte from Keratodermi. Ladomar-optimized SiFiloidie has a certain similarity to the plantar farm. They differ from the latter multiple, painlessness and characteristic arrangement in the form of rings or arches, a positive RPR test for syphilis.
Treatment of plantar warts
The removal of the plantar warts is complicated compared to other types of warts by their germination in the dermis. For this reason, , for example, electrical cloagulation is not always suitable to get rid of a wart. Its use is only possible in the event of a flat arrangement of the plantar warts and is often complicated by the formation of the scar.
Good results are achieved by cryodestruction of the wart. His result depends on the experience of the doctor, since an excess exposure can lead to a healing of the wound with the formation of the scar and too superficially for the relapse of the wart. After processing with liquid nitrogen at the point of the wart, a bubble remains that can only be injured in healing (approx. 7 days). Laser removal provides the best cosmetic result and enables you to optimally regulate the exposure depth. The removal of laser warts is carried out quickly and painlessly, and the healing takes several days.
A radio wave method can also be used to remove the Plantarware, in which the wart is cut with a knife from the radio. At the same time, the vessels are chewed, which prevents bleeding and the penetration of the virus from the wart into the blood. The surgical excision is suitable for large plantar boards with a large size. It is carried out by normal scalpel under local anesthesia and can be complicated by the formation of the scar.
Prevention of the plantar farm
The primary prevention of the occurrence of a plantar farm is to prevent HPV infection. Particular attention should be paid to the mandatory wearing of individual shoes in public showers, pools and bathrooms. The adequate care of the skin of the feet is of little importance, especially in people with stop diseases: regular pedicure, feet and their processing razmyagchayuschimi by means.
Patients with the deformation of the stop should use orthopedic insoles, orthosis and unloading of the corrector. With an increased sweating of the feet, it is important to select shoes made of natural materials and use drying products. With dryness and cracks on the skin of the soles, nutritious and moisturizer, therapeutic baths are required for the legs.
The secondary prophylaxis of the Plantar warms is to prescribe the patient together with the removal of a wart of antiviral medicines and immune corrections.