Social wart -zxstrong>
- A solid and flat formation on the skin of the feet, slightly dominant 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 chain only led to its constant injury and the occurrence of pain during walking. For this reason, the plantar wart often requires treatment, although it can pass itself. Elimination methods include cryotherapy, electrocoagulation, elimination by a radio wave or laser. -zxp>
general information -zxh2>The plantar wart refers to mild skin neoplasms and represents approximately 34% of all warts. Dermatology is engaged in the diagnosis and treatment of warts. The use of folk methods to get rid of warts and self-medication is extremely undesirable. The plantar wart has a root that goes deep in the skin and its incomplete elimination will lead to a new increase in the wart and excessive damage to the surrounding tissues - the appearance of warts in other parts of the body. -zxp>
The causes of the subsidiary -zxh2>Papillomas, condylomas and all kinds of warts (ordinary, flat, filament, plantar) have the same nature - an infection of the body with the papilloma virus (HPV). The virus spreads among people through infected skin cells (in contact). The most favorable for him is a humid and warm environment. Therefore, HPV infection often occurs in swimming pools, saunas, baths and gymnasiums. With a sufficiently strong functioning of the immunity of HPV in the human body, it remains in a latent state and does not give clinical manifestations. A failure of the immune system leads to the activation of the virus and to the appearance on the skin of the above training. -zxp>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, distorting osteoarthrosis, arthritis of small foot joints); Diseases leading to altered trophic tissues of the foot (diabetes mellitus, varicose veins of the lower limbs, atherosclerosis, etc. ), damage the skin of the foot. -zxp>
Demonstrations of a plantar wart -zxh2>The plantar wart is a solid and clearly delimited seal on the sole. Most often, it has an oval or rounded shape and size of about 1-2 cm. Education of 1 to 3 mm exceeds the total level of the skin. The color of the skin in the area of the plantar wart is generally not modified, but can be brown light or pink. -zxp>The surface of the wart at the start of its formation is smooth. Over time, it is covered with clasps of the keratinized epidermis, becomes rough and acquires a gray yellow tint. Sometimes, in the center of the plantar wart, a kracodobnoe break is noted. Black brown dots, which can often be seen on the surface of the wart, are due to superficial capillaries trombirivanim. -zxp>As a rule, the plantar wart is single. The appearance of subsidiaries indicates the strong activity of the virus. Several warts give a drawing of mosaic to the affected area of the sole, for which they were called "mosaic warts". -zxp>An independent disappearance of the plantar wart can be observed. In this case, there is no trace on the skin of the foot. But more often than not, due to a constant injury, the resolution of the wart does not occur. 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 shoes. -zxp>
Diagnostics of a plantar wart -zxh2>In its appearance, the plantar wart often resembles a corn or a section of skin hyperkeratosis. Only a professional dermatologist can distinguish it from these training courses. For this, Dermatoskopiya is carried out. In order to better study the formation, the pre-crop doctor The upper layers of the keratinized epithelium. The absence of a skin scheme on the surface of education and the identification of a symptom characteristic of "thrombus capillaries" speak in favor of a plantar wart. The positive results of the HPV PCR diagnosis confirm the patient inficirovannost. -zxp>To determine the depth of germination of the plantar wart, the patient is prescribed an ultrasound of skin education. In case of malignant suspicion, a consultation with a dermato oncologist is carried out. When identifying deformations and foot diseases, a podological consultation is necessary. -zxp>Podoshvennuyu The wart is differentiated from keratodermia and palms with Raytera syndrome. The smallest size of education is not conical, but a flat shape, a symptom of "thrombical capillaries" and the lack of inflammatory changes around the keratinized layers make it possible to distinguish the podoshvennuyu wart of the keratodermi. Sophisticated Sophisticated Ladomary siffilio has a certain similarity with the plantar wart. They are distinguished from this last multiple, the absence of spirit and the characteristic arrangement in the form of rings or arcs, a positive RPR test for syphilis. -zxp>
Plantar wart treatment -zxh2>The elimination of the plantar 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 to get rid of a wart. Its use is only possible in the case of a shallow provision of the plantar wart and is often complicated by the formation of the scar. -zxp>Good results are given by the cryodestruction of the wart. Its result depends on the experience of the doctor, because too deep 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 treatment with liquid nitrogen on the wart site, a bulb remains, which cannot be injured before its healing (about 7 days). The elimination of the laser gives the best aesthetic result and allows you to regulate the depth of the exposure in the most optimal way. The elimination of laser warts is carried out quickly and without pain, and healing takes several days. -zxp>To eliminate the plantar wart, a radio wave method can also be used in which the wart is cut by radio with a knife. At the same time, the vessels are cauterized, which prevents bleeding and the entrance to the blood wart virus. Surgical excision is suitable for large large plantar boards. It is carried out by an ordinary scalpel under local anesthesia and can be complicated by the training of the scar. -zxp>
Prevention of plantar wart -zxh2>The main prevention of the appearance of a plantar wart is to prevent infection by HPV. Particular attention must be paid to obtaining individual shoes in public showers, swimming pools and baths. No small importance, especially for people with arrest disease, is good skin care: regular pedicure, feet and their razmyagchayuschimi transformation by means. -zxp>Patients with the deformation of the stop must use orthopedic soles, orthosis and unloading corrector. With increased perspiration of the feet, it is important to select natural material shoes and use drying products. With drought and cracks on the skin of the soles, nutritious and moisturizers, therapeutic legs for the legs are necessary. -zxp>The secondary prophylaxis of the plantar wart consists in prescribing the patient as well as the elimination of a wart of antiviral drugs and Immuno correctors. -zxp>