Updates on etiopathogenesis and management of planter warts.

Document Type : Review Article

Authors

1 Dermatology, Venereology and Andrology Faculty of Medicine - Sohag University-Egypt

2 Dermatology, venereology and andrology, faculty of medicine, sohag university, sohag,Egypt

3 Dermatology, Venereology, and Andrology, Faculty of Medicine, Sohag University.

4 department Dermatology, Venereology and Andrology , Faculty of Medicine, Sohag University, Sohag

Abstract

Cutaneous wart is a benign skin growth brought on by the human papillomavirus (HPV), plantar wart is that type of wart occurring in plantar aspect of the foot, To date, over 400 variants of HPV, HPV 2,4,27,57, and 60 are the most common serotypes causing plantar warts. The formation of a successful cell-mediated immune response is necessary for wart regression. Plantar warts typically present clinically by discomfort, edoema, or a stone sensation under the foot. Upon examination, plantar warts manifest as thickened (cobblestoned) plaque or rough, flesh-colored to yellow or grey-brown, hyperkeratotic papules. Dermoscopic features of viral warts include homogeneous black to red spots and globules, papilliform surfaces, and interrupted conspicuous skin lines. The histopathology of viral warts exhibits papillomatosis, acanthosis, and hyperkeratosis together with the distinctive koilocytosis in higher keratinocytes. Numerous therapeutic approaches have also been tried and tested to find the best results with the fewest negative effects. In order choose the optimum strategy of treatment that would yield the most satisfying results, we have compiled the most up-to-date and widely recognized ideas on etiopathogenesis, clinical manifestations, and dermoscopic presentations in this review paper.

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