Plantar Warts
synonyms:
Plantar Warts ICD-9
- 078.12 Plantar Wart - Verruca plantaris
Plantar Warts Etiology / Epidemiology / Natural History
- painful, discrete raised lesions, hyperkeratotic occuring anywhere on the plantar aspect of the foot. Generally in ares of pressure such as the heel or ball of foot.
- Warts are highly vascular, exhibiting dark end capillaries or punctate bleeding when shaved.
- Etiology: Human papillomavirus (HPV), usually of type 1, 2, or 4.
- Affects @10% of the population.
- Generally resolve spontaneously.
- Associated with use of public showers (Johnson LW. J Fam Pract. 1995;40(2):136).
Plantar Warts Anatomy
- Generally endophytic growing into deeper layers of skin starting in the epidermis..
Plantar Warts Clinical Evaluation
- Painful hyperkeratotic lesion of plantar surface of foot. Pain increase with weight bearing / walking.
- Generally firm, gray/yellow, hyperkeratotic lesions with pinpoint petechial center
Plantar Warts Xray / Diagnositc Tests
Plantar Warts Classification / Treatment
- Salicylic acid, cantharidin, dichloroacetic acid or liquid nitrogen cryotherapy.
- Treatments should always be preceed by soak the affected area in warm water and pareing away the top excessive keratin layer.
- AAOS Patient Information.
Plantar Warts Associated Injuries / Differential Diagnosis
- Metatarsalgia
- Mortons neuroma
- Corn
- Callus
Plantar Warts Complications
- Spreading
- Mosaic cluster formation.
- Infection
- Scarring
- Recurrence
Plantar Warts Follow-up Care
- Repeat applications are often needed every other day for weeks.
- Recurrence is common
Plantar Warts Review References
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