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Abstract: The patient unintentionally discovered 2 or 3 small grains of flesh smaller than sesame seeds on his neck 3 months ago, which increased after picking and scratching, so he came to the clinic and was diagnosed with filiform warts based on the skin lesion performance. The patient was advised to undergo carbon dioxide laser treatment with topical medication. After standard treatment, the warts were cleared and no new warts were seen during the follow-up review.
The actual fact is that the actual person is not a person, but a person who is not a person.
The type of disease】filamentous warts
Hospital】Tianjin Haihe Hospital
Date of consultation】September 2019
Treatment plan] Physical therapy (CO2 laser treatment) + topical medication (recombinant human interferon alpha 2b gel)
Treatment period】2 weeks of outpatient treatment, 3 months of follow-up
Treatment effect] Warts were removed, no new warts were seen on follow-up
I. Initial consultation
The patient Zhang sister 3 months ago unintentionally found 2, 3 than sesame seeds on the neck of small grains of flesh, standing on the skin like a “small bamboo shoots”, except a little affect the aesthetic, no discomfort. The patient from time to time picked and scratched the small grains, and after a while found that the small grains increased, so he came to see the doctor. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.
The first step is to remove the warts and prevent recurrence. The first step is to choose physical therapy to remove the existing warts, and the second step is to choose an antiviral topical agent to apply locally on the neck to eliminate the potential virus. The first step is to use carbon dioxide laser to clean the warts one by one, paying attention to the extent and depth of the damage to minimize the trauma. After that, avoid sweating and touching water as much as possible, and apply recombinant human interferon alpha 2b gel to the neck skin daily to prevent recurrence while regulating the local skin immunity.
III. Treatment effect
After the carbon dioxide laser and 2 weeks of topical recombinant interferon alpha 2b gel treatment, the patient’s neck warts had been completely cleared and there were no new warts, the skin recovered as new, leaving no traces. The actual skin is as good as new. In the follow-up after 3 months, no new warts were seen, and the patient was very satisfied with the results of the treatment.
Fourth, notes
I am glad that the patient’s condition has improved and the warts are all cleared, but I need to advise the patient to pay attention to the daily maintenance of the skin, avoid physical damage, such as scratching, scratching, picking, rubbing, etc., avoid chemical damage, avoid excessive dryness of the skin. Pre-existing skin diseases should also be treated in a timely manner to ensure the integrity of the skin barrier. At the same time, maintain a healthy diet and rest, relax emotionally and exercise appropriately. In daily life, it is advisable to have a light diet, drink more water and avoid spicy and stimulating foods.
V. Personal Insights
The wart is usually unconscious. The wart is a viral infection that contains a large number of viral vesicles inside the wart, and repeated scratching and rubbing can easily cause the wart to break down and inoculate the surrounding skin with the virus, resulting in self-seeding and more warts. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.