Warts are caused by a virus and can recur. An individual who has a wart is susceptible to developing additional warts. Plantar warts are often mistaken for corns or calluses on the sole of the foot. Plantar refers to the bottom of the foot, where warts are most likely seen, although they can also occur on the toes. Plantar warts have a spongy appearance with little black, brown or red spots indicative of blood vessels feeding them. The lesions are circumscribed, which means they have a ring around each growth separating it from the surrounding skin.
There are many ways to treat these benign (non-cancerous) skin lesions. There is no best way. There is no quick way. Each method of treatment has advantages and disadvantages.Your doctor will recommend the type of treatment that is best for you. Sometimes it becomes necessary to use a combination of treatments. It depends on how your warts respond to your doctor's therapy. The most difficult wart to treat is a resistive type that appears in a pattern of groups or clusters. these are known as mosaic warts.
6 comments:
I've had a very persistent plantar wart for eight months now, despite my best efforts - and having the sucker cut out (bad idea, that was). I'm tempted to amputate the foot!
The one question I have searched in vain for over the past several months is...how long can the virus survive on environmental surfaces, particularly inside of shoes? And is there anything aside from bleach that will deactivate this non-enveloped virus? If you have the answer, I would be so very grateful.
Melissa
sorry to hear cutting out your wart was not successful. Makes me wonder if you even have a wart at all. Intractible plantar keratosis are often mistaken for warts but in fact are more difficult to treat and do not respond well to excision. Best way to tell is to look at the lesions; do they have small black dots(these are capillary loops)? does it bleed readily if you shave at the lesion? When looking through a magnifying glass do the skin lines surround the lesion or appear normal? If you see the dots it is likely a wart. If it bleeds readily it is likely a wart. If skin lines surround lesion it is likely a wart.
You pose a very good question about the survival of the virus on surfaces. In fact I really do not have a good answer for you. If you are concerned about your shoes a virucidal disinfectant such as Sani Cloth, CitrusII or Cavicide will suffice. I tend to keep it simple and tell patients to spray with lysol. Keep in mind, it takes some insult or trauma to the skin to allow the wart to seed. Therefore just because there may be HPV surviving on the surface doesn't mean you will automatically become infected. As I said before I'm not totally convinced you even have a wart. If you actually do Co2 laser has always worked EXTREMELY well in our office for more difficult lesions. However your suggestion of foot amputation would definitely get rid of that pesky wart as well.
Thank you for your response. It is definitely a plantar wart (black specks, interruption in footprint pattern). Cutting it out failed because part of the wart was left behind, and the virus spread to the edges of the incision. I ended up with a much larger wart as a result. I'm now treating with salicylic acid, a very slow and tedious process. I appreciate the helpful information!
Nice Post! The images are really horrible. One must really take care of their foot before the problem get worse. I remember when I was staying in Houston at my Aunt's house for my vacations, I got sever pain and soreness in my foot that occurred on regular basis. The only one who could take care of my foot soreness was Park Plaza Foot Specialists clinic. My Aunt had recommended them, they are really the best doctors to address foot problems.
I have a plantar/mosaic wart on the bottom of my 4th toe on my right foot. I have had it at least 5 years, with continuous treatment from a podiatrist...treatments includ..freezing,cutting,burning, cutting it out,formaldyhide, blistering...once I ended up with an infection. The wart has also grown under my toenail.My podiatrist now suggests amputation of the part of my toe and sewing a flap over it. Would I be in great pain, possibly have nerve damage, and posibly make it worse after the surgery? I am 68 and have never had it biopsied, to my knowledge.I am going to see my dermatologist before making any final decision as thisis a really drastic measure.
Karen from Florida
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