How to get warts: understand the treatment indicated for this type of problem
Common warts lesions are rounded either single or multiple and form plaques that may be harder to distinguish from other lesions. The common wart injury, in general, is smaller, skin color, without ulceration or crust. The most difficult differential diagnosis is with certain types of skin cancer. Sometimes the common verruca is confused with callosities that may occur mainly in the feet. There are many verrucous lesions that can make differential diagnosis with common warts. However, there are different and significant aspects that differentiate them. Deep mycoses such as sporotrichosis and chromomycosis are the most common, although verrucous also mix ulcerated and erosive aspects.
The dermatologist is the most suitable specialist for the diagnosis and treatment of warts. Removing the wart at home without the doctor's diagnosis is extremely dangerous. The lay patient will often not be able to differentiate the wart from a cancerous lesion and may be harmed. There is also the risk of burns, which can become scarring. Sometimes the wart will heal on its own, so the home recipes are famous, but the ideal is to go to the doctor and make the diagnosis.
In general, the first step in treatment is to diagnose the wart, which is a injury caused by viruses. There are several subtypes of viruses that cause the wart and some of them may be carcinogenic. Therefore, warts on the genital area should be investigated for the subtype of the virus.
Children have warts very often, more than adults. But in general, virus subtypes are benign. The warts can be papular, flat, verrucous and also vegetative, as in the case of condyloma acuminata (wart lesion in the genital area).
The treatment will be related to the type of wart, the location and also the age of the patient. The treatments are done in the office with local anesthesia. Sometimes the number of treatments (application of acids) is quite large.
The techniques for wart removal are numerous. Can we make curettage (scraping) plus electrocautery? or just electrocautery, depending on the patient's need. Also, lasers are used, especially the ablative. Another method used is liquid nitrogen, which is a cold burn and also eliminates the wart. There are also acid techniques used in the office after local scraping. Intralesional infiltrations with chemotherapeutics such as bleoxane and nutotrexate are good options as well.
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