The most common clinical conditions are common warts, flat warts, plantar warts and condyloma acuminata.
Common warts
Common warts are reactive benign infectious epithelial tumors caused by selective infection of the skin with human papilloma virus. They are commonly known as “wart”.
Clinical manifestations.
The skin lesions start as pinpoint papules and gradually expand to pea size or larger, round or polygonal, with a rough surface, obvious keratinization, hard texture, gray-brown or skin-colored, and continue to develop as papilloma-like proliferations that bleed easily with friction or impact.
Mostly occur in adolescents, generally no conscious symptoms, occasional pressure pain. The number of papillomas varies from one at first to several to dozens later. The number of skin lesions increases as a result of self-inoculation. The common clinical types are perineural warts, filiform warts, and finger warts.
Flat warts
Lichen planus is a benign superfluous epidermis caused by human papilloma virus. The course of the disease is chronic, with most patients lasting 1-2 years or longer. The incidence of the disease has increased in recent years and belongs to the category of “flat wart” in Chinese medicine.
Clinical manifestations.
The lesions are light brown or normal-colored flat papules of pinpoint to soybean size, with mild or no conscious symptoms, but when scratched, they are arranged in beads along the scratches. The disease is chronic and may fade on its own, but is prone to recurrence.
Plantar warts
Plantar warts are common warts that occur on the bottom of the foot or between the toes. It is often found in traumatic areas, and people with sweaty feet are prone to this disease.
Clinical manifestations.
The plantar warts are keratotic papules on the bottom of the foot that are subject to pressure, friction, or trauma, and gradually increase in size to form yellowish or tawny plaques with a rough keratinized surface surrounded by a well-defined keratin ring. In typical cases, they are hard, coarse and painful.
Condyloma acuminatum
Condyloma acuminatum belongs to the category of sexually transmitted diseases (STDs). It is a sexually transmitted disease caused by the human papilloma virus (HPV) and is a type of genital wart.
The incubation period is between 3 weeks and 8 months, with an average of about 3 months. The disease is transmitted mainly through sexual contact, and a few patients can develop it through contact with objects used by patients with condyloma acuminata, such as underwear, underwear, bath towels, bath tubs, toilet rings, etc. In addition, the disease can also be transmitted from mother to child through the birth canal during childbirth, and the onset depends largely on the number of viruses inoculated and the body’s specific immunity.
Clinical manifestations.
The genitalia and perianal and rectal areas are the preferred sites. In males, it is mostly seen in the foreskin, ligament, coronal sulcus, glans, urethral orifice, penile body, perianal area, intrarectal area and scrotum, and in females, it is mostly seen in the labia majora and minora, posterior union, vestibule, clitoris, cervix, perianal area and rectum. Occasionally, it is seen in areas other than the genitalia and anus, such as the axilla, umbilicus, oral cavity, breasts, and between the toes. Vaginitis in women and male circumcision are contributing factors to the development of acromegaly.
Treatment methods
The actual fact is that there are many local treatments for warts, such as local medication, liquid nitrogen freezing, high-frequency electric knife and laser treatment, but laser treatment is easy, painless and effective, and is widely used in the clinic.
Laser treatment principle.
The high-intensity beam generated by the laser is applied to the focal tissue, which can instantly vaporize the focal tissue, cauterize or cut the focal tissue, and at the same time use the selective photothermal effect of the laser to disintegrate the target tissue after absorbing the energy, and then discharge it out of the body through its own absorption and metabolism to achieve the treatment purpose.
It should be noted that not all wart patients can apply laser treatment: local inflammation of the skin, rashes, wounds or allergies, scarring, bleeding disorders or diabetic patients whose blood sugar is not effectively controlled are not suitable for the treatment.
Laser treatment has the following precautions.
1, most patients can be cured by laser treatment once, a few recurrences mostly occur within 1-3 months after laser treatment, recurrence will generally also be less than before, smaller, disappeared by the treatment again;
2, after surgery to prevent wound infection, more oral antibiotics for several days, the wound is not scabbed before, not easy to get water, surgery and post-operative drug treatment should be used according to medical advice;
3, plantar warts (long in the plantar warts), nail warts (long in the nail warts), and a wide area of warts laser treatment is often deep, after a short period of time to January there are wounds, after healing superficial traces, after a period of time, most of the skin tissue can be restored to normal, superficial scar can be flattened, pigmentation will also subside;
4, laser treatment wart effect is very significant, the post-operative recovery period also needs a certain amount of time to recuperate, after treatment, the wound scab, should avoid artificially tearing off the scab, otherwise it is easy to leave pigmentation and scars.