Infectious Skin Diseases
Aimilios Lallas, Zoe Apalla, Elizabeth Lazaridou, Dimitrios Ioannides, Theodosia Gkentsidi, Christina Fotiadou, Theocharis-Nektarios Kirtsios, Eirini Kyrmanidou, Konstantinos Lallas, Chryssoula Papageorgiou in Dermatoscopy A–Z, 2019
Dermatoscopic examination reveals multiple densely packed papillae containing red dots surrounded by white halo corresponding to perpendicularly oriented, often thrombosed, vessels within the elongated dermal papillae (Figures 7.22 and 7.23). This finding is more prominent in plantar warts in which the increased pressure results in vascular thrombosis, dermatoscopically seen as red to brown/black hemorrhages and blood spots (Figure 7.24). The latter is very useful for the discrimination of plantar warts from calluses, which lack the aforementioned features. In addition to this, dermatoscopy reveals the well-defined yellowish papilliform surface of a plantar wart in which the normal skin lines are interrupted following HPV infection.
Non-erythematous lesions
Richard Ashton, Barbara Leppard in Differential Diagnosis in Dermatology, 2021
Warts are an infection of the epidermis with one of the numerous human papilloma viruses. They are transmitted from one individual to another through broken skin (cuts, grazes etc.). They disappear spontaneously without scarring after weeks to years (average about 2 years) when the body has built up enough cell mediated immunity. Unfortunately, immunity to one type of wart virus does not confer immunity to any of the others, i.e. having had an infection with the common wart virus does not prevent infection with the plantar wart or plane wart virus.
Lower limb symptoms and signs
Kevin G Burnand, John Black, Steven A Corbett, William EG Thomas, Norman L Browse in Browse’s Introduction to the Symptoms & Signs of Surgical Disease, 2014
Continual pressure and friction on small areas of the skin of the foot caused by poor-fitting shoes or skeletal deformities stimulate thickening of the skin. A patch of thickened hyperkeratotic skin is called a callosity. It is often called a corn if it is pushed into the skin so that it appears to have a deep central core. These can also be painful when squeezed, making the differential diagnosis from a plantar wart difficult.
Combined therapy of plantar warts with topical bleomycin and microneedling: a comparative controlled study
Published in Journal of Dermatological Treatment, 2020
Hend D. Gamil, Mohamed M. Nasr, Fathia M. Khattab, Amira M. Ibrahim
Plantar wart (Verruca plantaris) is a wart occurring on the sole or toes of the foot. Plantar warts can be painful due to their callused, endophytic papules that have deeply penetrating sloping sides and a central depression (1). The types of human papillomavirus (HPV) that have been isolated from plantar warts include HPV-1, -2, -3, -4, -27, -29, -57, -60, -63, -65, -66, and -69. In one randomized controlled trial, 88% of plantar warts were caused by HPV-1, -2, -27, or -57. Most plantar warts are attributed to HPV-1 (2). Plantar warts exhibit an annual incidence of 14% in the general population. Transmission of warts occurs from direct person to person contact or indirectly by fomites (3). Treatment of plantar warts is a therapeutic challenge regarding both tolerability and efficacy. An innovative approach of combining microneedling with topical bleomycin for the treatment of recalcitrant plantar warts was first reported by Konicke and Olasz (4).
The application of medical scale in the treatment of plantar warts: analysis and prospect
Published in Journal of Dermatological Treatment, 2022
Kai Huang, Mingjia Li, Yi Xiao, Lisha Wu, Yixin Li, Yang Yang, Guanzhong Shi, Nianzhou Yu, Dihui Liu, Juan Su, Xianggui Wang, Shuang Zhao, Xiang Chen
As a viral disease, plantar wart is easy to recur, so it is difficult to have a perfect treatment method at present, and the quality of life of patients has been seriously affected. At present, in the clinical and scientific research scales are still less used for plantar warts. We recommend combining DLQI and SSS, so as to more comprehensively select in order to achieve a better treatment option. We will determine specific standards based on more research, so as to realize the selection of different treatment methods according to different scores. In the treatment of plantar warts, the application of pain (recommending VAS), pruritus (recommending VAS or multidimensional scales) and other scales can quantify the adverse reactions. Different relief methods can be implemented according to their severity. The same as treatment options, the choice of adverse relief methods according the scores of scale need more research to determine the standard. Finally, the application of the scale for the prognosis (recommending the combination of changes of warts and SDS) is beneficial to the evaluation of the treatment effect and the postoperative care.
Clinical use of zinc in viral warts: a systematic review of the clinical trials
Published in Journal of Dermatological Treatment, 2022
Deyu Song, Linxin Pan, Ming Zhang, Sheng Wang
Warts, an HPV infection associated condition, could be subtyped into four types: palmar wart (palm of hand, HPV2), plantar wart (soles of feet, HPV2), common wart (HPV1, HPV4, HPV 27, and HPV 57), and anogenital wart (AGW, HPV6, and HPV 11) (4,25). In this systematic review, we screened the clinical trials concerning zinc therapy (oral, intralesional, or topical) for different types of viral warts. Although the heterogeneity of subjects, study design, and outcome hindered the pooling of data, the overall trend was in favor of the zinc group.
Related Knowledge Centers
- Cryotherapy
- Skin
- Wart
- Chemotherapy
- Sole
- Foot
- Toe
- Papillomavirus Infection
- Immunodeficiency
- Medical Uses of Salicylic Acid