Dermatology - diseases of the skin

Warts in children and adults

Wart is a benign formation of the skin, composed of connective tissue and covered with epithelium. Warts are spread equally among men and women, are found in children’s, youth, middle and old age. There are several types of warts:

• vulgar or common warts;
• flat (youth, juvenile) warts;
• plantar warts;
• senile wart;
• genital warts.

Causes of warts

Warts occur due to infection by one of the varieties of papillomatous virus of man, which is transmitted by contact (e.g., shaking hands, walking barefoot in public places, swimming in the pool, the use of shared washing facilities) or through household items.

The incubation period lasts from 6 weeks to 6 months.

But for Contracting the virus simple contact is not enough, you must have predisposing factors. The latter include microtrauma of the skin, maceration of the skin (for example, excessive sweating of the hands and feet), immunodeficiency, as may indicate frequent colds.

Symptoms of different types of warts

Any wart has the appearance of papules. Papule is besplatnoe the formation of the skin, towering over its surface. So when we decided on the terminology, let us consider the main types of warts.

Common or vulgar warts papules are rounded, ranging in size from a pinhead to a pea. The surface of these papules is uneven, dry (chapped), rough, covered with villi, papillae and striated by cracks. Color vulgar warts may not differ from normal skin or varies from yellowish-brown to dirty grey. They are usually located on the back of the hand and fingers, may have narrowed the base leg. In some cases, warts may coalesce, forming large tumor-like tuberous element. They are usually painless, but at a constant trauma can become inflamed and cause pain. Typical appearance of them is shown in the figure below.

Causes of wartsFlat (youth or juvenile) warts is papules, slightly elevated above the skin surface, have a smooth, flat surface that can be covered with small scales. Their sizes vary from a pinhead to lentil. The color of such entities can match the color of the skin or have dark yellow or bluish tint. Favourite localization flat warts – dorsal surface of the hands, the area of the wrist, neck and face. A characteristic feature is the multiple precipitation elements. Plane warts usually do not cause subjective sensations.

Plantar warts are characterized by soreness, their appearance reminiscent of corn, yellow. They can rise above the skin, and take a view of the pit, the bottom of which is visible tufts of papillae, and the outer edge of this fossa is formed by Horny layers. They are located on the sole of feet in places most pressure and friction. When you remove the stratum corneum, which crumbles easily, in the Central part of the visible warts filiform, soft, juicy, bleeding nipples (called papillomatosis).

Senile warts (seborrheic wart, seborrhoeic wart) is a benign epithelial tumor arising in old age, has a slow growth and is taking his final appearance for decades. Initially, there is a small spot sizes brown color, which gradually increases, reaching up to 6 cm in diameter. Its surface is covered with greasy, easily removable crusts. At the end of its growth keratome rises above the surface of the skin, becomes more dark brown in colour, the crust becomes more dense, speckled with cracks. Are senile warts are usually in closed areas of the body, but can also occur on the face, scalp, neck and limbs.

Genital warts or genital warts are usually located in the coronary sulcus of the penis, the inner foreskin, at the entrance of the vagina, in the anus, less commonly in the inguinal-femoral folds, armpits and under the Breasts. Resemble a cauliflower or chicken scallop. Genital warts must be distinguished from the manifestations of secondary syphilis – wide warts. The latter is more dense and is located on a wide, solid base.

The wart diagnosis put on the basis of clinical findings, additional testing is not required.

Diseases resembling warts

Warts can be confused with contagious molluscum, wart lichen planus.
Molluscum contagiosum – the result of infection by the smallpox virus group. Externally is a hemispherical formation, dense consistency, translucent, slightly shiny with umbilicated in the centre, or pinkish color not different from the surrounding skin. Reaches a size from a pinhead to a pea. When pressed it emits white-grayish pasty mass. There is 3 months, and then spontaneously disappears.

When warty lichen planus nodules are formed brownish-purple color with gray Horny scales, raised above the skin, much like warts. The characteristic feature is the multiple lesions of the lower leg and the dorsum of the feet.

Treatment for warts

To treatment individually depending on the size, location and type of warts. Vulgar, flat, and plantar warts can spontaneously disappear.

To date, there is a rich Arsenal of tools to get rid of warts. It includes: electrocoagulation, cryosurgery, laser removal, surgical removal, radiowave surgery. Topically applied 10% salicylic acid in collodion, especially when plantar warts.

Treatment for wartsThe best method of treatment of vulgar warts is cryotherapy. For these purposes, use liquid nitrogen or carbon dioxide. Carbon dioxide is used in a liquid state in which it is special cylinders under a pressure of 60 atmospheres. When deflation of the balloon at room temperature for a few seconds turns into snegopady mass with a temperature of -70 degrees. This snow mass is filled with glass tubes of different diameter to the size of the wart and after the application thereto is extruded from tube with a wooden stick. After application for a period of time sufficient to freeze the tissue, the tube is removed. The procedure is painless and easily tolerated even by children.

Freezing with liquid nitrogen perform similarly, however, use a piece of cotton wool, wound on a thin wooden stick, which is dipped in a vessel with liquid nitrogen and immediately applied to the wart. Application time decide individually.

After the procedure after some time, a bubble is formed. It can not be opened, should be lubricated with a solution of brilliant green. After the bubble burst, the crust is not removed, because under it there is a healing.

Often, after the removal of the larger (parent) warts are the rest of them.

From folk remedies helps lubrication 2 times a day fresh milky juice of celandine viscous, orange liquid oozing to cut the stems of the plant.

Plantar warts are difficult to conservative treatment. So after cryotherapy is often necessary to excise them under local anesthesia.

A separate place is occupied papilloma eyelid. Treatment deals only last ophthalmologist. The use of folk remedies in this case is unacceptable. Cryotherapy with such localization of warts is not used because of the danger of destruction of the eyeball. From the Arsenal of treatment methods are still the main place is the removal of papilloma by acute under local anesthesia – the tumor is excised eye with a scalpel and send it for biopsy. This way you can remove warts on the outer surface and located at the edge of the eyelid. After the operation the eye is covered with a bandage to stop bleeding. A day after the operation the wound smeared with a solution of brilliant green to brown discharge and complete epithelialization.

Complications of warts

Prolonged friction and trauma may develop inflammation. Changes into malignant warts are extremely rare.

Thus, the goal of wart treatment is cosmetic in nature. Currently there are a huge number of beauty centers where a wide range of modern equipment for the removal of warts. Be healthy and beautiful.

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