Vulgar warts (simple, common) - a disease of a viral nature, which is characterized by the appearance on the skin of a small epidermal benign neoplasm of a rounded shape. Has a wide circulation. In the general structure of dermatological diseases in adults, it accounts for 45%, and in children and adolescents - 60%.

Warts vulgaris, or simple warts, can affect people of any age, but are more common in children.. The main routes of infection are:.

contact - in close contact with a sick or virus carrier, as well as their personal belongings;

autoinocular (self-infection) - the transfer of infection from affected areas of the skin to healthy ones (for example, in children biting their nails).

Predisposing factors for the onset of the disease are:.

violation of personal hygiene rules;

access to public pools, baths, saunas;

animal care, butchering.

The human papillomavirus enters the body through microtrauma of the skin.. For a long time it is in the cells of the basal layer of the epithelium and does not manifest itself clinically.. With a decrease in immunity due to the influence of various negative factors (infectious diseases, hypothermia, severe stress), the virus is activated, as a result of which characteristic growths appear on the skin.

Approximately 90% of patients spontaneously recover within a year from the moment of infection (provided there is no further self-infection). In the remaining 10%, the disease takes a chronic course with periods of remissions and exacerbations.. Exacerbations occur against the background of a decrease in the overall defenses of the body. During them, the infection spreads, and new formations appear on the skin..

SymptomsVulgar warts are usually located on the skin of the fingers and the back of the hands.. Much less often, the place of their localization becomes the skin of the palms, feet or mucous membranes.. In children who are prone to biting their nails, the growths are located around the nail plate.

The size of epidermal neoplasms ranges from a few mm to 1.5 cm.. Most of the formations are flesh-colored, but sometimes they can be with a yellowish or pink tint.. Long-lasting warts gradually darken.

Simple warts are single and multiple (papillomatosis). In the latter case, one formation with larger sizes is always distinguished.. It's called maternal wart.

A characteristic sign of the disease is the appearance on the fingers of "

Without treatment, the disease lasts in most cases 6-12 months.. During this time, antibodies to HPV are formed in the human body and self-healing occurs.. In patients with reduced immunity, rashes persist for a long time and new ones periodically appear..

Diagnosis Diagnosis of the disease is usually not difficult and is carried out by the presence of characteristic growths on the skin.. If necessary, the doctor may prescribe a PCR study for the presence of human papillomavirus.

Vulgar warts should be differentiated from a number of other dermatological diseases:.

warty form of tuberculosis of the skin;

lichen planus;

warty basalioma;

verrucous nevus;

keratomas.

Certain assistance in differential diagnosis is provided by special clinical atlases in dermatology.. They contain numerous photos that depict various types of rashes and neoplasms that occur with skin diseases..

After removal of the epidermal neoplasm, the resulting tissue must be sent to the laboratory for histological examination..

Treatment of Vulgar Warts Given that in more than 90% of cases, simple warts are prone to self-healing, therapy is usually not required.. Patients are only advised to lubricate the skin around the neoplasms with antiviral ointments to prevent further spread of the infection..

The main indications for treatment are:.

multiple rashes;

weakened immunity (chronic infectious or somatic diseases, leukemia, malignant neoplasms, HIV infection);

discomfort and pain at work;

cosmetic defect.

The procedure for removing wart formations is carried out on an outpatient basis using various methods presented in the table:.

Method.

Description.

Chemical cauterization.

The skin growth is lubricated with products containing acids or alkalis.. They cause coagulation of cellular proteins, which causes the death of the formation tissue.. A small scab remains at the site of the wart, which disappears after 7-10 days.

Cryodestruction.

The neoplasm is subjected to deep freezing with liquid nitrogen.. After the wound has healed, there is no scar or pigmentation left in its place..

Electrocoagulation.

An electrode in the form of a thin loop cuts off the formation and cauterizes bleeding vessels.

radio waves.

The build-up is burned out using high power radio waves.

laser radiation.

The laser beam burns out the epidermal formation, and in its place remains a small scab formed by a clot of gore. It goes away after about a week.. In its place remains clean and healthy skin.

Surgical removal.

With multiple warts, the affected area of \u200b\u200bthe skin is excised. Then the wound is sutured with a cosmetic subcutaneous suture.. After healing, a thin, barely noticeable scar remains at the site of surgical intervention..

To prevent the occurrence of recurrence of the disease, patients are prescribed antiviral and immunostimulating therapy.. In particular, it can be prescribed (only a few names of drugs are given for informational purposes):.

Oxolinic ointment;

Panavir;

multivitamin preparations;

Immunal;

Polyoxidonium.

Oxolinic ointment is used as an additional treatment for vulgar wartsTreatment at home Do not try to treat vulgar warts on your own. Self-medication poses a huge risk to human health, associated with a high likelihood of complications..

Traditional medicine recommends that in order to remove skin growths, lubricate their surface with celandine juice, vinegar essence or alcohol tincture of iodine. However, prolonged use of these drugs leads to chemical burns of the skin and traumatization of warts, which can provoke their malignancy, t. transformation into a malignant tumor - cancer.

You should also not try to bandage the base of epidermal neoplasms with a thin thread.. Such a method of "

If epidermal neoplasms appear, you should consult a dermatologist and carry out treatment, carefully following all the recommendations of a specialist.

ForecastFavorable forecast. The disease is completely curable in 90% of cases..

In the rest of the patients, periodic formation of new skin growths is observed, despite the full timely treatment..

Long-lasting epidermal neoplasms, as well as those undergoing frequent trauma, can become malignant..

PreventionTo prevent infection with papillomavirus, it is important to carefully observe personal hygiene measures, especially when visiting public pools and baths, as well as when in contact with animals.

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