Social wart
- Solid and flat formation on the foot of the foot, slightly high and covered with a keratinized epidermis. The main method of diagnosing planar warts is dermatoskopiya. The location of the chain on the sole leads to constant injury and the occurrence of pain during walking. Therefore, planar wart often requires treatment, although it can hand over it in itself. The removal methods include cryotherapy, electrocoagulation, and removal by radio wave or laser.
General information
Planar warts refers to benign skin tumors, and all warts are approx. 34%. Dermatology is involved in the diagnosis and treatment of warts. The use of folk methods of getting rid of warts and self -liberation is extremely undesirable. The planar wart root goes deep into the skin and incomplete removal of the wart to new growth and excessive damage to the surrounding tissues - the appearance of warts in other parts of the body.
The reasons for the subsidiary
Papillomas, condylomas and all sorts of warts (usual, flat, filament, planar) are the same - body infection with the papilloma virus (HPV). The virus spreads through infected skin cells (in contact). The most favorable for a wet and warm environment. Therefore, HPV infection is common in pools, saunas, baths and gyms. With sufficiently strong functioning of HPV immunity, it remains latent in the human body and does not provide clinical manifestations. The failure of the immune system leads to activation of the virus and the appearance of the above formations.
Excessive sweating (hyperhidrosis) or dry skin of the skin can contribute to the formation of planar warts; Uncomfortable shoes that cause compression or friction of the foot skin; Various deformations of the foot (flat legs, osteoarthrosis deformer, arthritis of the leg joints); Trophic tissues that are impaired for trophy tissues that are impaired for trophic tissues (diabetes -breast, the lower limbs, atherosclerosis, etc. ), the skin of the foot.
A manifestation of a planted wart
The planar wart is a solid, clearly delimited seal on the sole. Most often oval or rounded shape and size is about 1-2 cm. Education extends 1-3 mm above the full level of the skin. The color of the skin in the planar wart area is generally unchanged, but can be light brown or pink.
The surface of the wart is smooth at the beginning of the formation. Over time, it is covered with traps of keratinized epidermis, becomes rough and gray-yellow. Occasionally, the krateropodobnoe recess is taken into account in the middle of the planar wart. Black-brown dots that are often visible on the surface of the wart are the thrombirivaniem superficial capillaries.
As a general rule, the planar wart is unique. The appearance of subsidiaries indicates the high activity of the virus. Several warts of mosaic give drawing on the affected area of the sole, called "mosaic warts".
An independent disappearance of planar warts can be observed. In this case, there is no trace on the foot skin. But more often, due to constant injury, wart resolution does not occur. It is not painful in itself, causing significant discomfort and even sharp pain for friction and wart pressure on the soles of the shoe.
Diagnosis of Planta Wart
According to the appearance of planar warts, it is often similar to corn or hyperkeratosis of the skin. Only a professional dermatologist can distinguish them from formations. To do this, Dermatoskopiya is performed. In order to examine the formation better, the doctor knocked out the upper layers of the keratinized epithelium in advance. On the surface of education, the lack of skin pattern and the identification of the characteristic symptoms of "thrombus capillaries" are in favor of planar warts. Positive results of PCR diagnosis to HPV confirm the patient's infiRiRovannost.
To determine the depth of germination of planar warts, the patient prescribes the ultrasound of skin education. In the event of a suspicion of malignant nature, they consult the Dermato oncologist. Podologa consultation is required when identifying foot deformations and diseases.
Podoshvennuyu The wart can be distinguished with keratodermi soles and palms, the Raytera syndrome. The smaller size of the education is not a conical size, but a flat form, the symptom of "thrombic capillaries" and the lack of inflammatory changes around keratinized layers allow the distinction between podoshvennuyu wart from Keratodermi. Ladomary-kisophized syphiloids show some similarity to planar warts. They are distinguished from the latter multiple, painless and characteristic arrangement in the form of rings or arches, the positive RPR test of syphilis.
Treatment of planar warts
It complicates the removal of planar warts deeper, compared to other warts, germinated in dermis. Therefore, for example, electrochoagulation is not always suitable for warts. It is only possible with the shallow arrangement of the planar wart and often complicates the formation of the scar.
The good results are given by the cryodestration of the wart. Its result depends on the doctor's experience, as too deep exposure can lead to the healing of the wound with the formation of the scar and is too superficial to decline the wart. After processing with liquid nitrogen at the wart, a bladder remains, which can only be damaged until healing (about 7 days). Removing the laser gives the best cosmetic result and allows the optimal control of the depth of exposure. Laser wart removal is carried out quickly and painlessly, and healing takes several days.
A radio wave method can also be used to remove the planar wart, in which the wart is cut by the radio knife. At the same time, the blood vessels are cauterized, which prevents bleeding and penetration of the virus from the wart to the blood. The surgical cut is suitable for large planar tables. This is performed with a regular scalpel during local anesthesia and can be complicated with the formation of the scar.
To prevent planar warts
The primary prevention of the appearance of planar warts is the prevention of HPV infection. Particular attention should be paid to the mandatory wearing of each shoe in public shower, pools and baths. It is of little importance, especially for people with stop disease, properly care for the feet: regular pedicure, stack of legs and processing of razmyagchayuschimi.
Patients with Stop deformation should use orthopedic insoles, orthosis and unloading concerts. With increased sweating of the legs, it is important to choose shoes and use drying products from natural materials. Drought and cracks on the sole, nourishing and moisturizing agents require the therapeutic bath of the feet.
Planar wart is secondary prophylaxis consists of prescription of the patient, along with the removal of antiviral drugs and immune correction.