wen - a strong and flat formation on the skin of the feet, slightly higher above its level and covered with a layer of keratinized epithelium. The main method to diagnose a planar wart is dermatoskopiya. The location of the decay in the sole leads to its constant damage and the appearance of pain while walking. For this reason, planar warts often require treatment, though it can pass itself. Removal methods include cryotherapy, electrocagulation, removal from a radio wave or laser.
General information
Plantar wart refers to benign skin neoplasms and is approximately 34% of all warts. Dermatology is engaged in the diagnosis and treatment of warts. The use of popular methods to get rid of warts and self -medicine is extremely undesirable. Plantar wart has a root that is going deep into the skin and its incomplete removal will lead to a new increase in warts, and excessive damage to the surrounding tissue - the appearance of warts in other parts of the body.
The causes of the subsidiary
Papillomas, condoms and all types of warts (common, flat, filamentary, plantar) have the same nature - infection of the body with papilloma virus (HPV). The virus spreads between humans through infected skin cells (in contact). Most favorable to him is a wet and warm environment. Therefore, HPV infection often occurs in pools, saunas, baths and gyms. With a very strong functioning of HPV immunity in the human body, it lies in a latent state and does not give clinical manifestations. A failure in the immune system leads to activation of the virus and appearance on the skin of the above formations.
Excessive sweating (hyperhidrosis) or dry skin of the skin can contribute to the development of a planar lhyme; unpleasant shoes that cause compression or friction of the skin of the foot; various foot deformities (flat feet, deformity of osteoarthrosis, arthritis of small foot joints); Diseases that lead to damaged trophic tissue (diabetes mellitus, varicose veins of the lower extremities, atherosclerosis, etc. ), damage to the skin of the foot.
Manifestations of a Planar Lyon
Plantar wart is a strong seal, clearly defined in the only one. Most often, it has an oval or rounded shape and size of about 1-2 cm. Education with 1-3 mm lasts above the overall level of the skin. The skin color in the planar wart area is usually not 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 clamps of the keratinized epidermis, becomes harsh and adopts a gray-yellow color. Sometimes in the center of the plantar wart, kratteropodobnoe rest is marked. Black-brown spots, which can often be seen on the surface of the wart, are due to the surface capillaries of thrombirivaniem.
As a rule, the planar wart is single. The appearance of the subsidiaries indicates the high activity of the virus. Numerous warts give a mosaic drawing in the single affected area, for which they were called "mosaic warts".
An independent extinction of the plantar wart can be observed. In this case, there is no trace on the skin of the foot. But more often, due to constant damage, wart solution does not occur. Not painful in itself, it begins to cause considerable discomfort and even sharp pain associated with friction and wart pressure on the sole of the shoe.
Diagnosis of a Planar Lyon
In its appearance, the planar warts often resemble a corn or part of the hyperkeratosis of the skin. Only a professional dermatologist can distinguish it from these formations. For this, dermatoskopiya is performed. To better investigate the formation, the doctor pre -altifies the upper layers of the keratinizing epithelium. Lack of a skin pattern on the surface of education and identifying a characteristic symptom of "thrombus capillaries" speak in favor of a planar wart. Positive PCR diagnosis results in HPV confirm the patient's inficirovannostin.
To determine the depth of plantar wart germination, the patient is described an ultrasound of skin education. In case of suspicion of malignant nature, a consultation with a dermatitis oncologist is carried out. When identifying deformities and foot diseases, podologia consultation is needed.
Podoshvennuyu Lytha is differentiated with heel keratodermiei and palms with Raytera syndrome. The smallest size of education is not conical, but the flat form, a symptom of "thrombi capillaries" and the lack of inflammatory changes around the keratinized layers allow to distinguish podoshvennuyu wart from keratodermia. Ladomary-sophisticated siphiloidy has a resemblance to the plantar wart. They are distinguished by the multiple, painless and characteristic adjustment in the form of rings or arches, a positive RPR test for syphilis.
Treatment of the plantar wart
The removal of the planar wart is complicated by the deepest, compared to other types of warts, germination in the dermis. For this reason, electrocoagulation, for example, is not always convenient to get rid of a wart. Its use is only possible in the case of a shallow adjustment of the planar wart and is often complicated by the formation of the scar.
Good results are given by the cryodestration of the wart. Its result depends on the doctor's experience, as very deep exposure can lead to healing the wound with scar formation, and very superficial for the return of the wart. After processing with liquid nitrogen at the site of the wart, a bubble remains, which cannot be injured until its healing (about 7 days). Laser removal gives the best cosmetic result and allows you to adjust the exposure depth in the most optimal way. Laser removal is performed quickly and painlessly, and healing takes several days.
To remove the planar wart, a radio wave method can also be used in which the wart is cut from the radio with a knife. At the same time, the vessels are cauterized, which prevents bleeding and the introduction of the virus from the warts into the blood. Surgical extraction is suitable for large sized planar boards. It is performed by ordinary scalpel under local anesthesia and can be complicated by scar formation.
Prevention of plantar wart
The main prevention of the emergence of a planar lyonia is to prevent HPV infection. Particular attention should be paid to the mandatory dress of individual shoe in public traders, pools and baths. It is not of little importance, especially for people with stop disease, is proper care for the skin of the feet: regular pedicure, patching their feet and processing them razmyagchayuschimi with tools.
Patients with stop deformation should use orthopedic beds, orthosis and discharge corrector. As the foot sweating increases, it is important to choose shoes from natural materials and use drying products. With dryness and cracks in the skin of the heel, nutritional and moisturizing, therapeutic baths for the feet are needed.
The secondary prophylaxis of the plantar wart consists of describing the patient along with the removal of an antiviral medication and immunos correctors.