Viral Infection Warts (Verrucae)

Viral Infection : Warts (Verrucae) Warts are generally a benign disease which is an infection/inflammation on the skin and membranes caused by human papilloma viruses (HPVs). There are more than 50 different variations of this type of virus depending on the above placement / location of the virus on the skin. The incidence of warts is most common in children and children young adulthood but can also occur at various ages. Transmission possible can be through direct contact, but autoinoculation may also occur. Warts can appear as lesions that appear one by one or in multiples with a thick white surface and containing some clear projections. Clinical manifestations depend on the type of warts and their location. Warts/verruca the most Commonly found is verucca vulgaris which is known as surface which is hard/rough, protruding and round, most often found on the upper extremities especially hands and fingers. Plantar warts appear slightly raised or flat occur one after another or in large groups as a mosaic of warts generally found at foot pressure points. Diagnosis The diagnosis is generally made on basic visual examination. Plantar warts can differentiated from corns and callus which have different clinical features. Plantar Warts can erase the natural lines of the skin which may contain spots The capillaries are red or black which are easily visible if the surface of the warts is shaved down using a scalpel and severe pain was also found when stressed. Both plantar warts and corns have a nucleus soft like mush surrounded by a ring of thick, hard tissue both types become rattly with the surface of the skin. Treatment Some warts conditions can be treated with simple and few treatments Some of them can disappear spontaneously. Warts can be chronic or recurrent. There are several forms of treatment that can be given to this warts condition. The choice of coronation method is particularly influenced by the location of the warts, their size and number of warts, whether there is secondary infection, the amount of tenderness felt patient when the warts are palpated, age and gender, history of previous treatment, and the individual's ability to respond to the treatment provided. Through the counter salicylic acid preparations (such as Wart-off, Clear-Away, Freezone, Wart-Remover) which administered topically to the skin is expected to cause exfoliation. Cryotherapy can be administered using nitrogen or solid solutions carbon dioxide. This procedure has been widely used as a treatment of choice which is more cosmetically pleasing but can cause severe pain. this procedure resulting in epidermal necrosis, the area will dry and peel along with the peeling of the warts. Acid in solution form or as paste (salicylic acid and lactic acid) can be applied to the warts daily then cleaned after 24 hours and used again. Selection of this treatment not recommended for areas that are likely to get wet or for exposed parts of the body which are cosmetically like patches of skin not fun. Therapy using this acid requires a commitment from the client or family to live it every day. Electrodesication and Curettage of warts has been widely used as a general treatment for warts Commonly and sometimes for plantar warts this method is also used. High Frequency Electric Current (HFC) can destroy warts and what follows followed by surgical removal of dead wart tissue at its base by administering antibiotic ointment and bandaging for 48 hours. Athropic scarring may occur with a recurrence rate of around 20% -40%. Mechanical use ultra sound (nonthermal) has been introduced by some people in medicine plantar warts but have not yet been widely accepted by the medical community.