The plantar wart is the growth of the skin of viral nature, it is also called corn.From medical terminology it is clear that such formations are localized on the sole of the legs and fingertips.From the point of view of oncological risk, they are non-hazardous, but cause many inconvenience when walking due to their soreness with compression.
Causes of plantar warts
All types of warts, including plantar ones, calls the human papillomavirus (HPV).You can get infected with close contact with infected people or domestic way.From sunlight, the virus quickly dies, but feels great with high humidity.Therefore, most often the infection of HPV occurs in baths, saunas, pools.The penetration of the virus into the body is facilitated by microtrauma 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 sleeping state for an indefinitely long time.But if the immunity is reduced, it begins to actively multiply, provoking the appearance of various localization on the skin of warts.For their occurrence, it is precisely on the sole that 1, 2, 4, 27 and 57 subtypes of HPV are most often responsible.
The appearance of such formations is facilitated by some predisposing factors:
- too narrow shoes or not selected in size;
- frequent wearing of high -heeled shoes;
- various deformations of the feet (including flat feet);
- Various diseases of the joints of the feet (arthritis, arthrosis, etc.).
Warts on the leg are more often found in people with excessive dry skin and hyperkeratosis.
Thus, the causes of plantar warts in all cases are the same (infection of HPV), but the predisposing factors are different.The number and size of the elements on the skin depend on them and the state of immunity.
How the plantar warts are manifested
The wart on the foot looks like a rounded skin growth.It can be of different sizes, but rarely exceeds two centimeters in diameter.Above the skin level rises no more than three millimeters, but at the same time it goes deep inside with its root.In color, it may not be different from the surrounding skin or be darker or lighter.Often such formations have a yellow or gray shade.Visually, when examining inside the elements, you can see black dots or lines (they are also clearly visible in the photo).This is how the capillaries look in which blood clots formed, due to compression of the vessels of the Horny masses.
At first, the plantar wart has a smooth surface.But over time, it becomes stiff, rough, thickened.It is horn masses that give this Warts yellow.
An important sign of plantar warts is their soreness with compression.Each step hurts the patients with severe acute pain.
Such warts are very similar to plantar calluses.The similarity with the core corn is especially pronounced due to the severe pain of both formations.The main difference is that there is no skin pattern on the surface of warts, while it is preserved on corns.
Diagnosis of plantar warts
A competent dermatologist will diagnose a disease based on a clinical picture alone.In some cases, dermatoscopy is additionally required.The absence of a skin pattern 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 formations in other areas due to their deeper germination in the dermis.In the case of small and recently arising elements, the use of Necrotizing external drugs is possible.Large and deep warts are removed by surgical methods.At the same time, old formations should first be softened with keratolytic agents.
External drugs for removing warts
In some cases, self -destruction of such formations is possible.But since the plantar wart hurts quite strongly, the patients do not want to wait and strive to get rid of them as soon as possible.
To remove small and surface elements, any remedy for plantar warts with Necrotizing effect is prescribed.
These products contain acids that coagulate skin proteins, causing necrosis.Similar effects are prescribed by drugs that have Refrigrance in their composition.But they cause Necrotizing effects due to freezing tissues, and not due to their chemical damage.
All these drugs are applied pointwise on education.It is necessary to strictly ensure that the substance does not fall on the surrounding fabrics, as this will cause their burn.After processing on the site of the former wart, there will be a wound that will be covered with a crust.After healing, she will disappear on her own.You can carry out such treatment at home, but only as prescribed by a doctor.
In this way, it is possible to derive Plantar a wart of only small sizes and with a shallow germination in the skin.For large elements, you need to choose other methods of removal, since incomplete destruction of the wart tissue will necessarily lead to its relapse.
Surgical methods for removing plantar warts
In surgery, you can delete Plantar a wart in various ways.Preference is given to gentle methods:
- laser removal;
- radio wave knife;
- cryodestruction;
- electrocoagulation.
All these procedures are carried out on an outpatient basis.Patients can go home just a few minutes after their implementation, it is only necessary to regularly treat the wound at home.
The most effective and safe methods for removing plantar warts are considered to be a laser or radio wave knife.When they are carried out at once, coagulate vessels, which is a good prevention of bleeding and secondary infection.Complications when removing skin formations in these methods are extremely rare.What can not be said about cryodestruction and electrocoagulation, so these methods of treatment have faded into the background and are rarely used.
If the warts are large or old (covered with a large number of horn masses), it is recommended to treat them with keratolytic agents within two weeks before the removal procedure.For this purpose, salicylic ointment or acid and other drugs are prescribed.Thus, it is possible to exfoliate part of the horn scales, make the formation softer and supple.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 can advise surgical excision with a scalpel.With this method of removing warts, the rehabilitation period and a high risk of scarring are much longer, therefore it is used only according to strict indications.
Features of plantar warts in children
In children over five years old, plantar warts are quite common, since they often run barefoot, injure and do not always follow personal hygiene rules.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 formations in a child is better to start with external funds.You can try to exfoliate shallow elements with the help of salicylic ointments with the subsequent use of pumice.Immunomodulating drugs have proven themselves well.With regular application to the wart, they are able to remove it in a few weeks.
If the elements are deep, use products with Necrotizing action or remove them using a laser or radio wave knife.
Prevention of plantar warts
It is impossible to protect against the occurrence of warts with absolute probability, but the risk of their appearance can be reduced.To do this, you need to act in two directions: to eliminate predisposing factors and stimulate the body's defenses.
To achieve the first goal, you need:
- observe the rules of personal hygiene (do not walk barefoot in public places, wash your feet daily and process cuts and injuries in a timely manner);
- select comfortable shoes in size;
- In time, prevent deformations of the foot and treat joint diseases.
A healthy lifestyle, training, hardening, taking vitamin complexes and immunostimulating drugs as prescribed by a doctor will help maintain the body's defenses at a good level.
With excessive dry skin and hyperkeratosis, it is recommended to regularly do medical pedicures and peels.In case of increased sweating of the legs, special products for the treatment of hyperhidrosis must be used.When fulfilling all these rules, the risk of developing warts on the soles will be minimal.
Subanary warts are a non-hazardous disease, but delivering 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 minimum risk of new relapses.To do this, consult a dermatologist and strictly follow all his appointments and recommendations.