Plantar wart: Difference between revisions

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VisualWikitext

Latest revision as of 18:43, 18 September 2017

For patient information click here Template:DiseaseDisorder infobox

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Synonyms and keywords: Plane juvenile warts; periungual warts; subungual warts; plantar warts; verruca; verrucae planae juveniles; filiform warts; verruca vulgaris.

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Plantar wart from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Surgery | Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

External Links

^ Cochrane Database Syst Rev. 2003;(3):CD001781. PMID 12917913
^ Cochrane Database Syst Rev. 2006;(3):CD001781. PMID 16855978 [2]
^ BMJ. 2002 Aug 31;325(7362):461. PMID 12202325
^ Warszauer-Szwarc L.Treatment of plantar warts with banana skin. Plast.Reconstr.Surg 1981. 68; 975-6. PMID 7301999
^ Cutaneous Warts: An Evidence-Based Approach to Therapy. American Family Physician 2005;72(4):647-52. PMID 16127954

Template:Baltimore classification Template:Viral diseases

Template:WH Template:WS

@@ Line 1: / Line 1: @@
+__NOTOC__
 '''For patient information click [[Plantar wart (patient information)|here]]'''
 {{DiseaseDisorder infobox |
    Name        = Plantar wart |
-  ICD10       = B07 |
-  ICD9        = {{ICD9|078.19}} |
    Image       = Veruca_right_foot_detail.jpg |
    Caption     = A plantar wart. Striae (fingerprints) go around the lesion. |
@@ Line 10: / Line 9: @@
 {{CMG}}
-==Overview==
+{{SK}} Plane juvenile warts; periungual warts; subungual warts; plantar warts; verruca; verrucae planae juveniles; filiform warts; verruca vulgaris.
-==Epidemiology and Demographics==
+==[[Plantar wart overview|Overview]]==
-==Pathophysiology==
+==[[Plantar wart historical perspective|Historical Perspective]]==
-==Diagnosis==
+==[[Plantar wart classification|Classification]]==
-==Treatment==
+==[[Plantar wart pathophysiology|Pathophysiology]]==
-No treatment in common use is 100% effective.  The most comprehensive medical review found that no treatment method was more than 73% effective and using a [[placebo]] had a 27% average success rate.  The [[American Family Physician]] recommends:{{ref|afp2005}}
-<center>
-{| class="wikitable" cellpadding=5
-| First-line therapy  || over the counter [[salicylic acid]]
-|-
-| Second-line therapy || [[Cryosurgery]], intralesional [[immunotherapy]], or pulsed dye laser therapy
-|-
-| Third-line therapy  || [[Bleomycin]], surgical excision
-|}
-</center>
-[[Podiatrist]]s and [[Dermatology|dermatologists]] are considered specialists in the treatment of plantar warts, though most warts are treated by [[primary care physician]]s.
-===Vaccination===
+==[[Plantar wart causes|Causes]]==
-Although immunization is available for the HPV and strains causing [[cervical cancer]] and [[venereal warts]], there is currently no vaccination treatment for plantar warts.
-===Pharmacologic Rx===
+==[[Plantar wart differential diagnosis|Differentiating Plantar wart from other Diseases]]==
-; [[Keratolytic|Keratolytic Chemicals]]: The [[treatment of warts by keratolysis]] involves the peeling away of dead surface skin cells with [[trichloroacetic acid]] or [[salicylic acid]].
-; [[Immunotherapy]]: Intralesional injection of antigens ([[mumps]], candida or trichophytin antigens USP) is a new wart treatment which may trigger a host immune response to the wart virus, resulting in wart resolution. Distant, non-injected warts may also disappear.
-; [[Chemotherapy]]: Topical application of dilute [[glutaraldehyde]] (a virucidal chemical, used for cold sterilization of surgical instruments) is an older effective wart treatment.  More modern chemotherapy agents, like 5-fluoro-uracil, are also effective topically or injected intralesionally. [[Retinoid]]s, systemically (eg. [[isotretinoin]]) or topically ([[tretinoin]] cream) may be effective.
-:As warts are contagious, precautions should be taken to avoid spreading.
+==[[Plantar wart epidemiology and demographics|Epidemiology and Demographics]]==
-===Surgical===
+==[[Plantar wart risk factors|Risk Factors]]==
-* Liquid nitrogen : [[Cryosurgery]] with [[liquid nitrogen]]. A common treatment that works by producing a blister under the wart.  It is painful but usually nonscarring.
-* Electrodesiccation and surgical excision produce scarring. If the wart recurs, the patient has a permanent scar along with the wart.
-* Lasers may be effective, especially the 585nm pulsed dye laser which the most effective treatment of all, and does not leave scars, but is generally a last resort treatment as it is expensive and painful, and multiple laser treatments are required (generally 4-6 treatments repeated once a month until the wart disappears).
-===Other===
+==[[Plantar wart natural history|Natural History, Complications and Prognosis]]==
-* X-ray is an old method that is seldom recommended due to the long term adverse side effects of irradiation.
-* [[Duct tape occlusion therapy]]: The wart is kept covered with duct tape for six days, then soaked and debrided with a pumice stone. The process is repeated for 6 to 8 weeks.{{ref|ducttape}}
-* [[Watchful waiting]] may be appropriate since many warts will eventually resolve due to the patient's own immune system.  In many cases, the body will become naturally immune to the wart and verrucæ will turn black and effectively fall off, although it can be two years before this takes place
-==Relative effectiveness of treatments==
+==[[Plantar wart diagnosis|Diagnosis]]==
+[[Plantar wart history and symptoms|History and Symptoms]] | [[Plantar wart physical examination|Physical Examination]] | [[Plantar wart laboratory tests|Laboratory Findings]] | [[Plantar wart other diagnostic studies|Other Diagnostic Studies]]
-A 2006 study assessed the effects of different local treatments for cutaneous, non-genital warts in healthy people. The study reviewed 60 randomized clinical trials dating up to March 2005.  The main findings were:
+==Treatment==
-* overall there is a lack of evidence (many trials were excluded because of poor methodology and reporting).
+[[Plantar wart medical therapy|Medical Therapy]] | [[Plantar wart surgery|Surgery]] | [[Plantar wart prevention|Prevention]] | [[Plantar wart cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Plantar wart future or investigational therapies|Future or Investigational Therapies]]
-* the average cure rate using a placebo was 27% after an average period of 15 weeks.
-* the best treatments are those containing salicylic acid.  They are clearly better than placebo.
-* there is surprisingly little evidence for the absolute efficacy of cryotherapy.
-* two trials comparing salicylic acid and cryotherapy showed no significant difference in efficacy.
-* one trial comparing salicylic acid and duct tape occlusion therapy showed no significant difference in efficacy.
-* evidence for the efficacy of the remaining treatments was limited.
-==Complications==
+==Case Studies==
-==Prevention==
+[[Plantar wart case study one|Case #1]]
-* Avoid walking barefoot in public areas such as showers, communal changing rooms.  (Covering with an adhesive bandage is not a safe method as it will not last for long at all, especially while showering or swimming)
-* Change shoes and socks daily.
-* Avoid sharing shoes and socks.
-* Avoid direct contact with warts on other parts of body.
-* Avoid direct contact with warts on other persons.
-==References==
+==External Links==
-<!-- How to add a footnote:
-NOTE: Footnotes in this article use names, not numbers. Please see [[Wikipedia:Footnote3]] for details.
-) Assign your footnote a unique name, for example TheSun_Dec9.
-) Add the macro {{ref|TheSun_Dec9}} to the body of the article, where you want the new footnote.
-) Take note of the name of the footnote that immediately precedes yours in the article body.
-) Add #{{Note|TheSun_Dec9}} to the list, immediately below the footnote you noted in step3.
-) Multiple footnotes to the same reference: see [[Wikipedia:Footnote3]] that explains how to do that.
-NOTE: It is important to add footnotes in the right order in the list! Sources should be referenced in full in the Sources section, just above, so that short form citations can be used in these footnotes. -->
 # {{Note|cochrane2003}} Cochrane Database Syst Rev. 2003;(3):CD001781. PMID 12917913
 # {{Note|cochrane2006}} Cochrane Database Syst Rev. 2006;(3):CD001781. PMID 16855978 [http://www.cochrane.org/reviews/en/ab001781.html]
 # {{Note|Gibbs2002}} BMJ. 2002 Aug 31;325(7362):461. PMID 12202325
-# {{Note|ducttape}} Plantar Warts, Treatment [http://www.mayoclinic.com/health/plantar-warts/DS00509/DSECTION=8] (Mayo Clinic)
 # {{Note|banana}} Warszauer-Szwarc L.Treatment of plantar warts with banana skin. Plast.Reconstr.Surg 1981. 68; 975-6. PMID 7301999
 # {{Note|afp2005}} Cutaneous Warts: An Evidence-Based Approach to Therapy.  American Family Physician 2005;72(4):647-52. PMID 16127954
-==External links==
-# [http://www.mayoclinic.com/health/plantar-warts/DS00509 Mayo Clinic]
-# Advice from [http://www.feetforlife.org/cgi-bin/item.cgi?id=61 UK Society of Chiropodists and Podiatrists]
-# [http://www.merck.com/pubs/mmanual/section10/chapter115/115b.htm Warts, The Merck Manual]
-# [http://www.dermnet.com/thumbnailIndex.cfm?moduleID=21&moduleGroupID=634&groupIndex=0&numcols=0 Plantar Wart photo library at Dermnet]
-<br>
 {{viruses}}
-==References==
-{{reflist|2}}
 [[Category:Dermatology]]
 [[Category:Viruses]]

Plantar wart: Difference between revisions

Latest revision as of 18:43, 18 September 2017

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