Plantar Warts 078.12

synonyms:Plantar Wart, Verruca plantaris

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

• Generally not indicated.

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

• Mizel MS JAAOS 1995;3:166
• Esterowitz D, Am J Emerg Med. 1995;13:441
• Landsman MJ, Clin Podiatr Med Surg. 1996;13:55
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