The plantar wart is the growth of the skin of a viral nature, also called corn.From medical terminology it is clear that such entities are located on the sole of the legs and the tips of the top.In terms of oncological risk, they are non -hazardous, but cause a lot of discomfort when walking due to compression soreness.
Reasons for plantar warts
All types of warts, including plantar, are called human papillomavirus (HPV).You can get infected with close contact with infected people or home way.From sunlight, the virus quickly dies, but feels great with high humidity.Therefore, most often HPV infection occurs in baths, saunas, pools.The penetration of the virus into the body is facilitated by a micro -trauma and cracks on the skin as well as reduced immunity.
With strong protective properties of the body, the virus after infection can be in a state of sleep indefinitely.But if the immunity is reduced, it begins to multiply actively, causing the appearance of different locations on the skin of the warts.For their occurrence, the sole is 1, 2, 4, 27 and 57 subtypes HPV are most often responsible.
The appearance of such entities is facilitated by some predisposing factors:
- too tight shoes or are not selected in size;
- Frequent wearing of high mill shoes;
- various deformities of the legs (including flat legs);
- Various diseases of the legs of the legs (arthritis, arthrosis, etc.).
Leg warts are more common in people with excessive dry skin and hyperkeratosis.
Thus, the causes of plantar warts are in all cases the same (HPV infection), but the predisposing factors are different.The number and size of the elements on the skin depends on them and the state of immunity.
How are the plantar warts manifested
The foot wart looks like a rounded skin growth.It can be of different sizes, but rarely exceeds a diameter of two centimeters.No more than three millimeters rise above the skin level, but at the same time it enters deep inside with its root.In color, it may not be different from its surrounding skin or may be darker or lighter.Often such entities have a yellow or gray hue.Visually, when exploring inside the elements, you can see black dots or lines (they are also clearly visible in the photo).Here's how the capillaries in which blood clots are formed due to the compression of the vessels of the excited masses.
At first the plantar wart has a smooth surface.But over time, it becomes firm, rough, compacted.It is the horn tables that give these warts yellow.
An important sign of plantar warts is their soreness with compression.Each step injures patients with severe acute pain.
Such warts are very similar to plantar calves.The resemblance to the main corn is particularly pronounced due to the severe pain of both entities.The main difference is that there is no skin pattern on the surface of the warts while it is preserved on the calluses.
Diagnosis of plantar warts
A competent dermatologist will diagnose a disease based only on a clinical picture.In some cases, additional dermatoscopy is required.The lack of a skin model in education and the presence of capillaries with blood clots in its structure confirms this diagnosis.
Treatment of plantar warts
It is more difficult to get rid of plantar warts than from similar entities in other areas because of their deeper germination in the dermis.In the case of small and recent elements, it is possible to use necrotizing external drugs.Large and deep warts are removed by surgical methods.At the same time, the old entities must first be softened with keratolytic agents.
External Medicines to remove warts
In some cases, self -destruction of such entities is possible.But since the plantar wart hurts quite severely, patients do not want to wait and strive to get rid of them as soon as possible.
For the removal of small and surface elements, any medicine for plantar warts with a necrotizing effect is prescribed.
These products contain acids that coagulate skin proteins, causing necrosis.Such effects are prescribed by medicines that have reference in their composition.But they cause necrotizing effects due to freezing tissues, not due to their chemical damage.
All these drugs are administered to education.It is necessary to strictly ensure that the substance does not fall on the surrounding tissues as this will lead to their burning.After processing the former wart, there will be a wound that will be covered with a crust.After healing, she will disappear alone.You can do such treatment at home, but only as prescribed by a doctor.
In this way it is possible to obtain a plantar wart only of small size and with shallow germination in the skin.For large elements, you need to choose other methods of removal, as incomplete destruction of the wart fabric will surely lead to its relapse.
Surgical methods for removing plantar warts
During the operation, you can delete a plantar wart in different ways.Preference is given to gentle methods:
- laser removal;
- radio wool knife;
- Cross -depressing;
- electrocoagulation.
All these procedures are performed on an outpatient basis.Patients can only be harvested a few minutes after administration, it is necessary to treat the wound at home regularly.
The most effective and safe methods for removing plantar warts are considered laser or radio wool.When performed at a time, coagulate vessels, which is a good prevention of bleeding and secondary infection.Complications in the removal of skin formations in these methods are extremely rare.What cannot be said about cryodestruction and electrocoagulation, so these treatments have faded in the background and are rarely used.
If the warts are large or old (covered with a large number of horns), it is recommended to be treated with keratolithic agents within two weeks before the removal procedure.Salicylic ointment or acid and other medicines are prescribed for this purpose.In this way it is possible to exfoliate part of the rocks of the horns, to make the formation softer and more flexible.This will facilitate and speed up the process of removing warts.
In rare cases, when there are many elements or there are doubts about their nature, the doctor may advise surgical excision with a scalpel.With this method of removing warts, the rehabilitation period and a high risk of scars are much longer, so it is only used according to strict indications.
Characteristics of plantar warts in children
In children over five years, plantar warts are quite common as they often flow barefoot, injure and do not always follow the rules of personal hygiene.Immunity provides malfunctions due to regular contacts with sick children (in kindergartens and schools), which leads to an increase in the likelihood of warts.
The treatment of such entities in a child is better to start with external funds.You can try to exfoliate the shallow elements with the help of salicylic ointments with subsequent use of pumice stone.Immunomodulatory drugs have proven well.With regular application to the wart, they can remove it in a few weeks.
If the elements are deep, use necrotizing products or remove them using a laser knife or radio wool.
Prevention of plantar warts
It is impossible to prevent warts with absolute likelihood, but the risk of their appearance may be reduced.To do this, you need to act in two directions: to remove predisposing factors and stimulate body protection.
In order to achieve the first goal, you must:
- Observe the rules of personal hygiene (do not go barefoot in public, wash your feet daily and process cutting and injury on time);
- Choose comfortable shoes in size;
- Over time, they prevent deformities of the foot and treat joint diseases.
Healthy lifestyles, training, hardening, taking vitamins and deficiency, as prescribed by a doctor, will help maintain the body's protection at a good level.
With excessive dry skin and hyperkeratosis, it is recommended to regularly perform medical pedicures and pedicures.In the case of increased sweating of the feet, special products should be used to treat hyperhidrosis.When you fulfill all these rules, the risk of developing warts on the soles will be minimal.
Subanar warts are an unavelled disease, but it provides a lot of inconvenience due to soreness when walking.Fortunately, in modern medicine, there are many ways to get rid of it quickly and with the minimal risk of new relapses.To do this, consult a dermatologist and strictly follow all his appointments and recommendations.