Social nipple - Solid and flat formation on the skin of the foot, rising slightly above its level and covered with a layer of Keratin epithelle. The main method for diagnosing the plantar nipple is dermatoscopy. The Location of Warp on the solution leads to his constant injury and the appearance of pain during walking. For this reason, the planar nipple often requires treatment, although it can pass alone. Removal methods include cryotherapy, electrocoagulation, removal of radio wavehilities or laser.
General information
The plantary nipple refers to the benign neoplasms of the skin and approximately 34% of all nipples. Dermatology deals with the diagnosis and treatment of nipples. The use of popular nipple release methods and self-gedification is extremely undesirable. The plantary nipple has a root that deeply enters the skin and its incomplete removal will lead to a new increase in nipples and excessive damage to the surrounding tissue - to the appearance of the nipples in other parts of the body.
Causes of branch
Papillomi, condylomas and all types of nipples (ordinary, apartments, philamental, plantara) have the same nature - infection of the body with a papillom virus (HPV). The virus spreads among people through infected skin cells (in contact). The most favorable for him is wet and a warm environment. Therefore, the HPV infection often occurs in swimming pools, saunas, bathroom and gyms. With the strong enough functioning of HPV immunity in the human body, it adheres to the latent state and does not give clinical events. Failure to activate the virus and appearance on the skin of the above formations in the immune system.
Excessive sweating (hyperhidrosis) or dry skin leather can contribute to the development of fire plant; unpleasant shoes that cause compression or friction of the skin of the foot; Various foot deformations (flat legs, deform osteoarthrosis, arthritis of small foot joints); Diseases leading to weakened trophic feet tissues (diabetes Melitus, varicose veins of lower extremities, atherosclerosis, etc. ), skin damage.
Manifestations of Plantar nipples
The plantary nipple is solid, clearly limited seal. It most often has an oval or rounded shape and size about 1-2 cm. Education for 1-3 mm is protruding above the total skin level. The color of the skin in the plantar nipple area usually does not change, but can be bright or pink light.
The surface of the nipple at the beginning of its formation is smooth. Over time, he was covered with the buckles of the keratinized epidermis, becomes rough and acquires a gray yellow shade. Sometimes in the center of Plantar nipples, a craterodobrocnoe dent was observed. Black and brown points, which can often be seen on the surface of the nipples, occur due to the thrombant surface capillaries.
As a rule, the canvas nipple is single. The appearance of the branch indicates a high activity of the virus. Multiple nipples gives a mosaic that is drawn on the affected area of the soles, which they called "mosaic nipples".
An independent disappearance of plantar nipples can be noticed. In this case, there is no trace on the skin of the foot. But more often, due to constant injury, the nipple resolution does not appear. It is not painful in itself, it starts to cause significant discomfort and even sharp pain associated with friction and pressure of the warts on the shoe soles.
Diagnostics of planting nipple
In its appearance, the Plantar nipple often reminds corn or part of the skin hypercheralatosis. Only a professional dermatologist can distinguish him from these formations. Dermatoscopy is implemented for that. To better explore the formation, the doctor exverses the upper layers of a keratinized epithelium. The absence of skin samples on the surface of education and identification of the characteristic symptoms of "thrombus capillares" speak in favor of the Plantar nipple. The positive results of the PCR diagnosis of HPV confirm the patient infection.
In order to determine the depth of the germination of PLANTARE nipple, the patient is prescribed by the ultrasound of skin education. In case of doubt from Malignant Nature, counseling with Dermato Oncologists is carried out. When identifying deformations and foot diseases, it is necessary to consult a subordination.
Podoshvennuyu nipples are differentiated with keratodermaiei soles and palm trees with Rayter syndrome. Lower education size is not a conical but flat form, symptom of "thrombic capillaries" and the lack of inflammatory changes around Keratine layers allow a distinction of Podoshvennuyu nipples from Keratoderma. Ladomarni-sophisticated syphiloids have some similarity with planting nipples. They are characterized by the latter multiple, painless and characteristic layout in the shape of rings or arches, positive RPR test for Syphilis.
Treatment of nipple plant
The removal of the plantar nipple is complicated with more deeper, compared to other types of warts, germination in dermis. For this reason, for example, electrocoagulation is not always suitable for nipple release. Its use is only possible in the case of a shallow layout of the plantar nipple and is often complicated by forming scars.
Good results are given to the cryoderies of the nipple. His result depends on the doctor's experience, because too deep exposures can lead to healing wounds with the formation of scars, and too much superficial to relapse nipples. After processing with liquid nitrogen at the point of nipples, the blister remains, which cannot be injured until its healing (about 7 days). Laser removal gives the best cosmetic result and allows you to regulate the depth of exposure in the most optimal way. The laser nipple is done quickly and painless, and healing lasts several days.
To remove the plantar nipple, the radio wave method can also be used in which the wart cuts the radio with a knife. At the same time, the vessels are lined, which prevents the bleeding and entering the virus from the wart into the blood. Surgical excision is suitable for large plantary plates. It is performed by an ordinary scalpel under local anesthesia and can be complicated by forming scars.
Prevention of plantar nipples
The primary prevention of plantar nipples is preventing HPV infection. Special attention should be paid to the compulsory carrying of individual shoes in public showers, swimming pools and bathing areas. There is no significant importance, especially for people with a halting of the disease, is properly caring for the skin of the foot: regular pedicure, accumulation of feet and their processing Razmyagchayuschimi.
Patients with stopping deformation should use orthopedic cartridges, orthosis and unloading concealer. With increased feet sweating, it is important to choose shoes from natural materials and use drying products. Along with dryness and cracks on the skin of the shan, nutritious and humidifiers, therapeutic foot baths are needed.
Secondary prophylaxis of plantary nipples consists in the prescribing of the patient, along with removing the nipple of antiviral drugs and immune conceals.