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Plantar Warts B07.0 078.12

Plantar wart clinical photo

Plantar wart clinical photo

synonyms:Plantar Wart, Verruca plantaris

Plantar Warts ICD-10

  • B07.0  Plantar wart

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.

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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