Plantar warts

The description given is typical of verrucas. Verrucas are plantar warts caused by the human papilloma virus affecting the sole of the foot in pressure areas. The lesion is pushed into the epidermis eventually forming a dry hard plaque with a small central black core, which comprises blood vessels. Preparations containing salicylic acid, which is a keratolytic agent, may be used as treatment. Diabetic patients should be referred. 

Warts Iontophoresis of sodium salicylate has been used in the treatment of plantar warts with success [15]. 

Gordon, A. H. and Weinstein, M. V. Sodium salicylate iontophoresis in the treatment of plantar warts. Phys. Then 49 869, 1968. 

Brodell, R.T. Bredle, D.L. The treatment of palmar and plantar warts using natural alpha interferon and a needleless injector. Dermatol. Surg. 1995, 21, 213-218. 

Verrucas (plantar warts] and warts (common warts)... 

Warts on the sole of the foot are generally known as verrucas or plantar warts. The HPV-1 group most commonly causes verrucas although HPV-2, HPV-60 and HPV-63 can also cause them. 

Types of papillomata were separated by Hodgson and Whitely into four morphologic groups (1) flat shiny lesions (2) sessile lesions resembling plantar warts (3) pedunculated skin tags (fibro-epithelial polyps) and (4) plaques (seborrheic keratoses). 

Plantar warts are frequently seen among athletes and swimming pool users (Conklin 1990). Some studies have questioned transmission linked to swimming-pool or locker-room usage. The strongest association is with shower-room usage (Grigg and Wilhelm 1953 Johnson... 

Prophylaxis and treatment for the three most common viral infections in athletes - herpes simplex, plantar warts, and molluscum contagiosum - are listed in Table 5. 

Grigg K, Wilhelm G (1953) Epidemiological study of plantar warts among school children. Public Health Rep 68 985-988 Halow KD, Harner RC, Fontenelle LJ (1996) Primary skin infections secondary to Vibrio vulnificus the role of operative intervention. J Am Coll Surg 183 329-334 Harris H (1992) Acne keloidalis aggravated by football helmets. Cutis 50 154... 

Johnson LW (1995) Communal showers and the risk of plantar warts. J Fam Pract 40 136-138... 

Skin A 26-year-old applied topical glutaral to a plantar wart for 5 months and developed deep ulceration [10 ]. 

Toot problems. Any dysfunction of the foot may alter normal mechanics. These could include Morton s foot (neuroma), corns, calluses, bunions, hallux rigidus, plantar warts, or poorly fitting shoes, if plantar flexion is absent, there is no push-off and the heel and forefoot come off the floor together. 

A retrospective observational study was undertaken in 35 patients with recalcitrant plantar warts treated with cidofovir cream (1% or 3%) applied once or twice daily [6 ]. Side effects were identified in only two patients, who both experienced local skin irritation associated with use of the 3% cidofovir cream twice daily. The absence of double-blind controlled studies to date was noted, hence further studies exploring the safety and efficacy of this treatment are warranted. 

Padilla Espana L, Del Boz J, Fernandez Morano T, Arenas Vfllafranca J, de Troya Martin M. Topical cidofovir for plantar warts. Dermatol Ther 2014 27(2) 89-93. 

Becerro de Bengoa Vallejo R, Losa Iglesias ME, Gomez-Martin B, Sanchez Gomez R, Saez Crespo A. Application of cantharidin and podophyUotoxin for the treatment of plantar warts. J. Am. Podiatr. Med. Assoc. 2008 98(6) 445 50. 

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