What is a spike and what does it come from. Warts: Description, treatment of folk and medicines Wart code microbial

A plantar wart is a benign growth on the skin of the feet that can form on one side or affect both feet at the same time. The development of warts provokes infection and activation of the human papillomavirus in the body. The treatment is complex, it requires the correction of external defects, strengthening the immune system to prevent the recurrence of epithelial growths.

A wart on the foot is a reason to visit a dermatologist, podiatrist, cosmetologist, to eliminate discomfort, pain when walking.

Previously, the doctor conducts a thorough diagnosis to determine the type of formation, the level of oncogenicity of a particular HPV strain that caused the appearance of this type of growth. The specialist excludes signs of malignant degeneration.

According to the International Classification of Diseases ICD-10, pathological papillomavirus formations on the feet have the code B07.

Localization on the legs (feet, toes, lesions of the periungual ridge, the nail itself, interdigital space) often leads to damage to the warts, the development of clinical manifestations (pain, inflammation, bleeding), the symptoms progress rapidly due to constant weight pressure on the soles, aggravation of the condition of the growths.

Types and causes of appearance

The main etiological factor in the development of warts on the foot and sole is HPV infection from a carrier of the virus.

Ways of infection:

transmission through microcracks on the legs, wounds, abrasions when visiting public bathing places: swimming pools, beaches, showers in sports clubs;
use of public household items, lack of individual footwear, hygiene products; towels, razors, underwear, bed linen;
direct skin-to-skin contact;
self-infection in the absence of personal hygiene: dirty hands, combing wounds.

The virus can be in a latent phase for a long time.

There are predisposing factors for activating the growth of warts on the soles:

weakened immunity against the background of long-term viral, colds;
autoimmune pathology;
hormonal disruptions in the body (pregnancy, lactation, menopause, puberty, treatment with corticosteroids, disruption of the thyroid gland);
exposure to aggressive detergents on the skin of the feet;
varicose veins, atherosclerotic vascular lesions, diabetic foot, microcirculation disorders in the lower extremities;
when exposed to uncomfortable shoes, foot deformity, increased sweating or dry skin, maceration are provoked - a favorable environment for the appearance of warts on the soles;
frequent stressful situations, depression;
metabolic disorders, unbalanced nutrition;
the presence of addictions: alcohol abuse, smoking, drug addiction.

There are several varieties of papillomavirus growths on the sole:

single forms, multiple formations;
mosaic, homogeneous structure;
the structure can be flat, convex shape;
in color - from pale pink to dark brown. The wart can turn black when the roots grow into vascular formations;
the inner root can be localized in the thickness of the epidermis or grow into the dermis, which complicates the removal process.

Are plantar warts contagious?

The danger of plantar elements is that they are easy to injure, provoke the growth of multiple elements with damage to the skin of the feet, legs, and other parts of the body.
Virtually all types of warts are contagious, plantar warts are no exception. Cases of self-infection, relapse of the disease, even after a course of therapy, are often diagnosed by doctors in the presence of several growths on the patient's body. To prevent the transmission of the virus, reinfection, it is worthwhile to conduct a thorough diagnosis (HPV tests, biopsy histology), comprehensively treat the body, and not just external manifestations.

What is the difference between a plantar wart and a corns with a shaft

When examining a formation on the foot, a specialist doctor conducts a differential diagnosis of the growth of a viral origin, corns with a stem.

When determining the difference between a plantar wart and corns with a rod lower extremities Comparison needs to be taken into account:

Name of education	Dry corn (corns)
Reason for the appearance	Viral infection - HPV.	Trauma with the development of tissue necrosis.
Circulation	Grows through capillaries, may become red or black in deep localization.	Absent, with trauma or puncture, bleeding is excluded.
Form	Nodular regular shape with clear boundaries, always rises above the surface of the skin.	May have indistinct boundaries.
Soreness	Pain when walking or pressing on the sole.	Soreness is often absent, even when trying to remove. When the rod grows, pain and burning appear.
Color	Pale pink to dark brown.	Light yellow or beige.

A wart is a dangerous form of pathology that requires treatment by a doctor. Corns can heal on their own when the rod is removed.

Features of treatment in children

Plantar view of growths in childhood- a common phenomenon, the child has weak immunity, delicate skin, age-related type of flat feet, developed subcutaneous tissue.

Methods of therapy in children include the following procedures:

According to the recommendations of Dr. E.O. Komarovsky, the main forces should be aimed at strengthening the immune system by normalizing nutrition, vitamin and mineral complexes, and healthy physical activity of the child. In this case, the body itself will cope with the removal of HPV from the body.
Medical support for the purpose of immune correction in a weakened body, the presence of chronic pathologies. Drugs are used in tablets (Isoprinosine, Panavir, Viferon), solutions of antiviral, immunostimulating action (Verrukacid, Iodine, Ferezol), drugs with a cauterizing, keratolytic effect (Supercleaner, Salicylic ointment, Salipod patch, Kollomak). The application of drugs should be targeted so as not to damage the surrounding healthy tissue on the sole.
Pharmacy devices for home use of Cryopharm, WartnerCryo are used carefully, only after consulting a doctor in order to avoid burning healthy tissues (cauterization is based on the mechanism of action - cryodestruction with liquid nitrogen), harming the child's body.
Removal of formations on the sole with the help of a surgical operation (excision with a scalpel) is used for deep forms of warts, a severe stage of the pathological process. During the operation, an incision is made in the surface tissues, excision of the element, roots, and part of healthy tissues. The recovery period can last up to 3-4 months.
Minimally invasive techniques are distinguished by efficiency, quick recovery, minimal pain of the procedures. Such methods include laser destruction, cryodestruction, diathermoelectrocoagulation, radio wave method. Optimally in children, removal with a laser and cryotherapy.
The use of folk methods of treatment - treatment with celandine, compresses from herbal infusions, natural ointments is used in complex treatment with the approval of the attending physician. Dangerous to use alone folk recipes and medicines. The application of abrasive substances can result in complications, the growth of warts and the appearance of long-term non-healing wounds.

What is dangerous and how to avoid complications

Plantar forms are dangerous because the foot takes on most of the weight. Formations cause discomfort and limit the free movement of a person.

Often warts are infected with secondary microflora and can provoke pyogenic complications: suppuration big size, the risk of tissue necrosis with the need for surgical intervention.

To prevent the development of growths on the skin of the legs, the prevention of HPV infection, it is recommended to follow the following recommendations:

personal hygiene of soles;
wear seasonal comfortable shoes, avoiding overheating, freezing of the feet;
use personal rubber shoes, towels in public bathing areas;
eat a balanced diet, lead a healthy lifestyle;
treat wounds on the feet, use a band-aid to prevent infection.

Timely diagnosis, treatment of formations on the sole will help to avoid complications, restore the process of free movement. You do not need to self-medicate, try to remove the wart on your own - it can provoke complications. It is necessary to contact a specialist for quick, effective disposal from the problem. Timely contact with a medical institution is an important condition for the successful treatment of growths on the legs. It will help reduce the risk of dangerous consequences.

Warts are a skin disease caused by a filterable virus and characterized by small tumor-like benign non-inflammatory formations.

Warts are benign skin growths caused by various types of human papillomavirus (HPV).

Frequency

warts

- common dermatosis, 7–10% of the general population.

Dominant age

Childish, youthful.

Classification

Palmar - plantar Deep hyperkeratotic Superficially - mosaic Flat (youthful) Genital warts.

Wart: Causes

Etiology, pathogenesis. The causative agent is the filterable Tumefaciens verrucarum virus. The disease is transmitted by direct contact with the patient, as well as through objects of common use. The incubation period is 4-5 months. The state of the central nervous system plays a certain role in pathogenesis.

Etiology, pathogenesis

The causative agent is the filterable Tumefaciens verrucarum virus. The disease is transmitted by direct contact with the patient, as well as through objects of common use. The incubation period is 4-5 months. The state of the central nervous system plays a certain role in pathogenesis.

Etiology and pathogenesis

HPV - 2 and HPV - 3 - ordinary

; HPV - 1 - hyperkeratotic; HPV - 2 and HPV - 4 - superficial varieties of palmar - plantar warts; HPV - 3 - flat

The incubation period is from several days to 8 months. Way of transmission - contact - household.

Genetic Aspects

Several hereditary diseases are known that are accompanied by the appearance of warty growths on the skin, for example: Warty epidermodysplasia (226400, r). Hereditary predisposition to the development of multiple viral warts Warty X - linked epidermodysplasia (305350, A) Van - den - Bosch syndrome (*314500, A): mental retardation, atrophy of the choroid, warty acrokeratosis, anhidrosis, skeletal deformities.

Risk factors

Decreased immunological reactivity of the body, increased sweating of the hands and feet.

Pathomorphology

Acanthosis, papillomatosis, hyperkeratosis with areas of parakeratosis, vacuolar degeneration of the cells of the spiny and granular layers of the epidermis.

Wart: Signs, Symptoms

Clinical picture

Common warts Single or multiple nodules with a diameter of 0.2–0.5 cm, hemispherical in shape, clearly limited, dense, grayish-yellow in color, with hyperkeratosis on the surface Localization - easily injured areas, i.e. fingers, hands, knees.

Plantar warts (horny wart, palmar - plantar wart) Rash elements. At first, a small, shiny, subsequently keratinizing papule or plaque is yellowish - gray color with a rough uneven surface.

The formation is usually solitary, but there are 3–6 or more warts. Small elements can merge with the formation of a "mosaic" wart.

Warts located in places of pressure are painful Localization: soles in the projection of the heads of the metatarsal bones, heels, fingertips, other supporting areas of the foot.

Flat warts Flat, well-defined papules with a smooth surface, 1–5 mm in diameter, rising 1–2 mm above the surrounding skin. Color light brown, pink or normal skin.

Always multiple isolated elements arranged in groups; in places of injuries, a linear arrangement is possible. Localization: favorite localization - face, back surface of the hands, lower legs.

Wart: Diagnosis

Diagnosis is usually straightforward and is based on the clinical picture. The differential diagnosis for plantar warts is carried out with callus, which is a continuous horny layer without a papillary structure; with genital warts - with wide condylomas (manifestations of secondary syphilis), which have a dense texture, wide base and often a macerated surface, on which the pathogen is found - pale treponema.

Diagnosis

usually does not cause difficulties and is based on the clinical picture. The differential diagnosis for plantar warts is carried out with callus, which is a continuous horny layer without a papillary structure; with genital warts - with broad condylomas (manifestations of secondary syphilis), which have a dense texture, a wide base and often a macerated surface, on which the pathogen is found - pale treponema.

Wart: Treatment Methods

Treatment. Electrocoagulation, diathermocoagulation, cryodestruction with liquid nitrogen, solid carbonic acid, lubrication of thuja tincture, applications of 5% tebrofen ointment.

With multiple warts - hypnotherapy, inside burnt magnesia (0.5 - 1 g 3 times a day), fowlers solution (5 drops 3 times a day). When plantar warts are also shown chipping 1% solution of novocaine (2 - 3 ml), surgical excision, electrophoresis of 10% solution of novocaine; with flat warts - lubrication (3 - 7 times) fresh juice celandine, vitamin B12 in / m, UFO.

Diagnosis code according to ICD-10 B07

Treatment

Electrocoagulation, diathermocoagulation, cryodestruction with liquid nitrogen, solid carbonic acid, lubrication of thuja tincture, applications of 5% tebrofen ointment. With multiple warts - hypnotherapy, inside burnt magnesia (0.5 - 1 g 3 times a day), fowlers solution (5 drops 3 times a day). When plantar warts are also shown chipping 1% solution of novocaine (2 - 3 ml), surgical excision, electrophoresis of 10% solution of novocaine; with flat warts - lubrication (3 - 7 times) with fresh celandine juice, vitamin B12 / m, UVI. Tags: Click here Common and palmoplantar warts Intralesional administration of IFN preparations 1,500,000 IU 3 r/week or 0.1% r-ra bleomycin Rubbing 5% fluorouracil ointment, perhydron, 20% r-ra iodophyllin, 0.5% colhamic ointment, 20% interferon ointment, cauterization with ferazole, trichloroacetic acid Freezing carbonic acid with snow or liquid nitrogen, electrocoagulation, scraping with a pointed Volkmann spoon, laser coagulation.

The papilloma virus is so widespread among the civilized population that every second person has this infection.

Papilloma on the skin according to ICD 10 (International Classification of Diseases, 10th revision) takes the place "B 97.7" as the causative agent and the place "B 07" under the name of viral warts.

Warts themselves are not dangerous. They spoil the aesthetic appearance of the skin: growths age the face and disrupt the natural smoothness of the epithelium, but no more.

The biggest danger is the degeneration of a benign growth into an oncological tumor.

In this regard, certain strains of HPV have been assigned the status of low and high oncogenic risk.

Squamous cell carcinoma, or cervical cancer, is diagnosed in 70% of cases in the presence of this virus. This gives grounds to consider papilloma as the main cause of squamous cell carcinoma.

Having found a wart on the skin, not every person decides to visit a dermatologist.

The course of the disease is sluggish, passes without relapses and special discomfort, in most cases, after six months, self-healing occurs.

If the virus that reproduces in a latent form belongs to a strain with a high oncogenic risk, such behavior of the patient leads to the activation of the virus under the influence of risk factors at an unpredictable moment.

Therefore, a visit to a dermatovenereologist, if papilloma appears on the skin in the form of genital warts, is a must.

Reasons for the appearance

The growth of warts means the activation of a virus that infected a person long before the appearance of the first neoplasm on the skin.

Photo: pregnancy is one of the reasons for the decrease in immunity

HPV affects the basal layer of epithelial cells at the border of the cylindrical and stratified epithelium. The resulting neoplasms are necessary for the spread of the virus.

To understand exactly why papillomas appear, a diagnostician can. The following reasons may contribute to this:

immunosuppression associated with stress, lack of sleep, nervous tension and psychological depression;
weakening of the body's defenses due to surgical operations and a long struggle with chronic infectious diseases;
physical overload, chronic fatigue syndrome;
significant hormonal changes in the body (puberty, pregnancy).

Mechanism of HPV infection

papillomavirus is unstable environment Therefore, most often they become infected by direct contact with the carrier.

Photo: sexual contact is the most common cause of HPV infection

This is facilitated by various microtraumas of the skin: abrasions, cracks, scratches, abrasions.

There are several ways HPV can be transmitted:

sexual contact- the most common way of transmission of genital warts;
household transmission occurs due to non-observance of the rules of personal hygiene and sanitization of public premises: baths, showers, gyms, toilets, etc.;
generic- infection of the child from the mother during childbirth, due to which anogenital warts may appear in the larynx of the baby;
autoinfection occurs when one's own neoplasms are damaged during epilation, shaving, wearing rubbing clothes.

Photo

Varieties

Specialists distinguish many types of neoplasms.

The list contains descriptions of the most common types:

vulgar- pineal formations that appear on the fingers and wrists, as well as on the knees. They can merge with each other and occupy a significant area;
single- growths that are invisible to the patient, growing to large sizes with damage;
filiform growths- a group of cone-shaped sticks with pale yellow tops, reaching 6 mm in length;
plantar warts- at first glance, they resemble corns, but from a small shiny growth, a neoplasm with a characteristic rim grows over time, as well as branches of child papillomas;
flat outgrowths have a natural pinkish color, they look like flattened burn scars;
warts appear on the external genitalia, but may also appear around the mouth due to oral-genital transmission. Anogenital warts can merge into nodules, have a pinkish-red hue.

Places of localization

Most often, papillomas are found on the skin of the hands, neck, in the folds of the skin and genitals.

Photo: trauma of the neoplasm of the scalp

On the head

An inconspicuous formation on a thickened base or stalk.

Often exposed to mechanical damage when combing, so it can grow to large sizes.

With injuries to a large neoplasm, swelling, redness, fluid release, and sores may appear. At the first detection of a growth on the head, removal is recommended as directed by a doctor.

On the genitals

Genital warts in men appear on the foreskin and head one at a time and in groups of up to several dozen. Usually they do not cause discomfort, which leads to frequent damage with the danger of infection or malignancy (malignant transformation).
Women are characterized by the presence of anogenital warts on the vaginal mucosa and in the folds of the perineum.

Clinical manifestations

Papillomas usually protrude from the surface of the skin and are pale to red, muddy brown, and purple in color.

Neoplasms are not particularly sensitive, but if damaged, they can become inflamed, bleed and grow to large sizes.
Cell proliferation in this case is associated with the excitation of the process of regeneration in the damaged area, to which both normal and infected epitheliocytes respond.
Flat papillomas can cause itching and flushing.
Filamentous formations, or acrochords, are characterized by the fact that they do not pass on their own. In some cases, they are accompanied by rectal polyps.

In children

A special form of papillomas occurs in children under five years of age with a birth infection of HPV 6 and 11 strains.

Juvenile papillomas are localized in the larynx and on the vocal cords.
The growth of neoplasms can disrupt the functions of breathing and speech.

Diagnostics

Diagnosis of papillomavirus infection is carried out on the basis of data from a visual examination by a dermatologist or venereologist and the PCR method.

Photo: computer diagnostics of skin neoplasms

Only in the presence of formations by the way papillomas look, an approximate diagnosis is possible.

The PCR method allows you to determine the amount of the virus, its type and oncogenicity.
According to the results of PCR diagnostics, the doctor can determine whether the neoplasms are the result of a short-term decrease in immunity, or whether the disease has a chronic course. This allows you to understand how to treat the disease - limit yourself to restorative drugs or prescribe stronger drugs.
If papillomas need to be removed, then a histological and cytological examination is also carried out, which makes it possible to determine the structural features of the tissue and the location of the cells, as well as the likelihood of malignancy of the neoplasms.

A papilloma micropreparation consists of epithelium and connective tissue stroma; the type of neoplasm is determined by the structure of the epithelium - squamous or transitional cell.

Video: "Thermocoagulation - removal of papillomas, moles and neoplasms on the skin"

Treatment

The task of treatment is to prevent the spread of papillomas from the affected areas further along the skin and mucous membranes, reduce the activity of the virus and strengthen the patient's immunity.

It is impossible to completely destroy the papillomavirus, but a healthy immune system effectively copes with it, preventing the appearance of neoplasms.

Therefore, an individual treatment regimen includes immunomodulators and vitamins, the doctor may prescribe Likopid, Immunomax, Amiksin and Annokin-alpha, which improve immunity.
A drug that combines antiviral and immunomodulatory properties - Groprinosin, which has positive reviews scientists and practicing physicians.

What is dangerous papilloma in the groin?

What is basal cell papilloma with grade 1 dysplasia? Read on.

In patients after the course of administration, a decrease in the number of viral particles in the smear was found.

Removal of papillomas on the skin

Neoplasms on the skin can cause inconvenience, injury when rubbing against clothing and cause multiple papillomatosis.

However, the biggest danger of HPV is the ability of some papillomas to degenerate into malignant tumors.

Among other things, papillomas also look unaesthetic, so patients tend to first of all get rid of existing growths and warts, and then proceed to further treatment papillomavirus infection.

Methods for removing papillomas:

cryodestruction- neoplasms, as well as tissues and vessels around them, are frozen with liquid nitrogen;
electrocoagulation- cessation of blood supply to the tumor under the influence of electric current, the papilloma is separated from healthy tissues, and small vessels are coagulated;
radio wave surgery- the least traumatic for healthy tissues, does not leave scars and scars;
laser removal- allows you to remove papilloma in one session, after exposure to a laser, it dries up and forms a crust, which disappears after a couple of days; macropreparation of papilloma is sent for histological examination.

If the place around the point where the papilloma was, turned red after its removal, then you should consult a doctor to prevent malignant degeneration of cells.

Folk remedies

Treatment of papillomas with folk methods is carried out using plants rich in phytoncides - antibiotic substances of natural origin.

These include celandine, garlic, Kalanchoe and others.

Folk recipes for the treatment of papillomas:

infusion of young shoots of spruce, celandine and potatoes. Potato sprouts, celandine grass and spruce shoots are filled in a liter jar in a ratio of 1:1:1 and poured with alcohol. Leave to infuse for two weeks, after which they lubricate the affected areas once a day in three approaches with a break of 1-2 minutes;
pink potatoes are peeled and rubbed on a fine grater. After that, the juice becomes obsolete and drink half a glass before meals twice a day - this stimulates the immune system and slows down the development of infection;
if there are formations on the body that look like moles, only red, treatment with folk remedies is carried out using compresses with green juice walnuts and celandine.

How to treat papillomas, if it is not possible to get fresh plants or celandine juice, Kalanchoe?

The alkaline drug Supercelandine does not contain celandine juice, but has a similar effect, cauterizing a benign formation and preventing its recurrence.

Photo: using Supercleaner to remove warts

Complications

Papillomas in areas that are often subjected to friction with clothing and other mechanical influences are prone to injury.
If such neoplasms are damaged, there is a risk of tissue malignancy, which leads to the launch of oncological processes. Therefore, it is necessary to carefully monitor the condition of papillomas, controlling the slightest changes in their size, quantity and shape.

How to treat papilloma with signs of malignancy?

To prevent the development of the oncological process, the doctor performs its excision, capturing healthy tissues, and prescribes antiviral drugs.

Prevention

Diagnostic examinations every six months help to determine the presence of the virus and prevent infection at an early stage.
Compliance with the rules of hygiene allows you to avoid infection by contact-viral.
Women most often become infected with papilloma during sexual intercourse, so it is always necessary to use barrier methods of protection.
Pregnant women with HPV can infect their baby with the virus during childbirth or in the first years of life, so they need to diagnose the infection in time and treat it.
Carriers of papilloma without visible manifestations of infection are prescribed therapy for prevention. medicines cytostatic action that inhibit the development of the virus.
As a specific prophylaxis, vaccination with sera Cervarix and Gardasil is used, which is carried out three times within six months.

So, in order to prevent the exacerbation of papillomavirus infection and prevent the growths and warts from degenerating into malignant tumors, it is necessary to strengthen the immune system and undergo PCR diagnostics annually.

How is the removal of papillomas on the genitals?

What to do if the papilloma on the leg is inflamed? Find out here.

Do papillomas need to be removed before pregnancy? Read on.

It is not necessary to remove papillomas and warts if they do not cause discomfort, but it is necessary to monitor their condition and consult a doctor at the slightest change.

Video: "Human papillomavirus"

Papillomas in humans: how they appear, causes, symptoms, diagnosis, treatment

The skin is one of the most important organs that performs a barrier function. It is an integral part of the body's immune system. There are many diseases that negatively affect the health of the skin. Among them, various formations, growths, spots are distinguished. Most of them arise on the basis of viral infections. One of these benign formations are papillomas.

According to morphology, they occur due to the presence of human papillomavirus (HPV) in the body. Medicine knows more than a hundred types of this infection. Each of them has the same nature of origin, but can manifest itself in different ways. The disease, which is caused by the pathological division of epithelial cells, is called viral papillomatosis.

It provokes pathological cell division in the structure of epithelial tissue. As a result of this process, growths (papillomas) appear on healthy, at first glance, skin. They look like birthmarks. They can form on any part of the skin and on the mucous membranes of the external and internal genital organs of a person. They can also appear on the mucous membranes in the oral cavity, on the tongue, in the nasopharynx.

The papillomavirus can remain in the body in a depressed state and not make itself felt until a certain point. Usually, a weakened immune system leads to pathological cell division. At first, these harmless formations do not constitute a health hazard, and are defined as a cosmetic skin defect. But still, it's worth it to be afraid. Benign papillomas can lead to the development of cancer. Especially if they appear in the nasopharynx. This course of the disease can make it difficult or completely block breathing.

Today, human papillomas (see photo) are often found on the epidermis, regardless of age. Pathological cell division begins from a flat ball of epithelium.

What do papillomas (HPV) look like?

Initially, they look like warts or nipples. Then they grow and turn into pathological growths that rise above the surface of the skin. The same clinical picture has the education that occurs inside the body.

As for the sizes, they can be from 1 mm in diameter. up to 2.5 cm. Their color can also be varied (from flesh, less noticeable, to brown-dark).

Scientific studies show that HPV infection poses a risk of infection through the contact-household route. Especially if on the skin healthy person there are microdamages, the likelihood of infection increases significantly. HPV (papillomavirus) can be transmitted both sexually and perinatally (from mother to child).

This virus is quite popular and widespread. It takes its place in the International Classification of Diseases 10 edition (ICD 10). Papilloma - ICD code 10 - B 97.7 (pathogen), and code - B 07 (viral warts). In the description of skin pathology in the international classifier, it appears that these formations are just a cosmetic defect that significantly affects the quality of human life.

How does the human papillomavirus (HPV) develop in the body and for what reason?

Papillomavirus (HPV, HPV) belongs to the Papoviridae family. After it enters the body, it infects the membranes of the basal epithelial cells. It is in them that the virus lives quietly until the right moment of its activation. When the immune system weakens, the most favorable moment comes for the activation of a harmful microorganism.

The group of particular risk of developing papilloma - a viral infection, should include people who allow themselves:

Having promiscuous (random and frequent) sexual intercourse with unfamiliar partners. The transmission of the virus, in this case, is more likely than with a permanent partner.
Oral protective agents or contraceptives. They are not as effective as many instructions for their use say and often cannot protect a person from STIs. HPV (papillomavirus) is no exception.
Bad habits. Alcoholism and smoking significantly depress the human immune system. Getting into such an organism, the papillomavirus feels quite comfortable, as evidenced by pathological formations.

In addition, the causes of HPV can also be gastrointestinal diseases, respiratory diseases (flu, SARS) or the use of potent, hormonal drugs.

Why is the causative agent of this disease so difficult to remove completely from the body? The fact is that HPV is associated with papoviruses, which have double-stranded DNA. It is very small and its double-stranded circular DNA is enclosed in a cusp (protein coat). It takes root in the human body at the genetic level and develops through small formations on the epidermis.

What are the types of papillomas?

The incubation period of papilloma can last from several weeks to several months, or even years. In a depressed state, it can persist throughout life, without manifesting itself. Given the fact that there are many varieties of papillomas, medicine has classified them into some main types.

It should be noted that according to the degree of danger, these formations are divided into two large groups:

benign. They do not cause the formation and development of cancer cells or tumors. They account for the overwhelming majority (about 85 HPV varieties). They can only provoke the rapid growth of warts, genital warts and other pathological processes in the tissues of the mucous membranes and epidermis.
Oncogenic. Dangerous types of HPV. There are only 15 of them, and they have their own designations in the classifier (82.73, 68, 59, 58, 56, 52, 51, 45, 39, 35, 33, 31, 18, 16). Oncogenic growths can cause the manifestation of pathological processes in the form of cancer. Under the influence of the virus, cancer cells multiply rapidly. Most often, oncological formations appear on the cervix and other parts of the genital organs. Even if the presence of one of the 15 dangerous types of HPV is diagnosed, this does not mean the inevitable manifestation of a dangerous disease for a person, but only a high probability (80-90%).

There are several types of these growths, which are determined both by location and shape.

The main types of papillomas:

Vulgar (simple or common). In appearance, they are defined as oval warts that rise slightly above the surface of the skin. They appear most often in children or young adults. Localization - soles (type 1-4). They can also form on other parts of the body (75-77, 26-29, 41, 38, 49, 57, 65). First, a spherical papule appears, no larger than 1 mm in size. As it grows, it acquires a dark shade and uneven shape. The surface of such formation often has a roughness. It can occur both singly and in foci (first, the parent wart appears, and already near it, the child warts).
flat. Visually, they can be distinguished by their round-oval shape and flesh or brown pigmentation. They can rise above the surface of the skin by almost 2 mm. Flat papillomas are produced by 49, 28 and 10 types of virus. The localization of these formations is observed to a greater extent on the upper part of the human body (face, neck, chest, back, forearms). Less commonly, they occur on the genitals (penis and cervix), rectum.
Pointed papillomas (warts). Pathological division of tissue cells leads to the appearance on the surface of the skin of nipple-shaped pointed growths of flesh or pink hues. They can be located both singly and in whole groups, forming large growths that significantly affect the quality of human life. Genital warts are transmitted only sexually. Produced by 69, 55, 54, 51, 44, 42, 1, 6 HPV types.
Acrochords (filamentous papillomas). Photos of these formations show that they have a slightly elongated, rounded and filiform shape. Formed on thin skin. Produced by types 2 and 7 of the virus. Localization - armpits, groin, fat folds, under the mammary glands, on the neck and eyelids. Very often, people aged 40 or more suffer from this type of manifestation, when the skin begins to rapidly lose its natural elasticity.
Papilloma of the choroid plexus (choroid papilloma). A benign formation that manifests itself in the vestibule of the lateral ventricles of the brain in the form of villi. They have an identical histological resemblance to intact choroid plexus tissue. This formation is diagnosed with computed tomography or neurosonography.
Papillomatosis of the larynx, oral cavity and trachea. Signs of this disease are difficulty breathing, discomfort when swallowing food, minor pain and coughing. This form of papillomatosis has not been fully studied, so doctors are discussing the oncological origin of this formation. It is produced by 73, 72, 57, 32,11,7 and 6 HPV types. On the mucous membrane of the mouth, larynx or throat, papillary growths form in the form of pale spots. As a result of the course of the disease, the growths increase, reducing the lumen. In some patients with this diagnosis, doctors find speech disorders due to the fact that the growth affects the vocal cords. This manifestation can only be treated surgically.

HPV diagnostics

Diagnostic measures for diseases that are associated with the activity of the human papillomavirus are carried out according to a special principle, and several specialists can take part in this process. It should be generally understood - HPV screening - what is it?

To collect an anamnesis of the disease, the conclusions of other narrowly specialized specialists are used. Very often, papillomavirus is the first to be discovered by gynecologists. In women who come for examination for any reason, in 30-40% of cases, the development of a pathological process on the cervix and on the mucous membranes of the genital organs is diagnosed.

Diagnosis of HPV in a woman is a reason to visit a doctor and a sexual partner for a preventive examination. This necessary measure prevention and formation of malignant tumors of the human reproductive system. Scientists have already proven that the relationship of papillomavirus with immunosuppression is very close. It also contributes to the transition from benign formations to malignant.

How is human papillomavirus determined?

Diagnosis is the need for consultations with an oncologist and immunologist, regardless of the degree of the disease.

Initially, a routine clinical examination is performed, during which the presence of formations on the skin and mucous membranes is visually determined. A mandatory examination of the urethra and cervical canal is provided, since a typical clinical picture makes it possible to diagnose exophytic warts, and they tend to spread rapidly.

Research on HPV by this method can be carried out using colposcopy. In this case, the doctor uses a special device called a colposcope. It has the shape of a binocular loupe and has the ability to magnify the image. Thus, the doctor receives more reliable information about the stage and course of the pathological process. The correct diagnosis of papilloma depends on this.

To create a complete picture of the history, some epithelial tests can also be used (their purpose is to determine the degree of development of the virus on the skin), as well as a cytological examination (scraping from the mucous membranes). Cytological examination reveals characteristic changes at the cellular level of epithelial tissues. The virus itself is not detected. An additional histological examination (biopsy) can clarify the results of this procedure. During pregnancy, it is prohibited.

What other methods are used to test for HPV? The following molecular biological methods are considered the most popular:

PCR (polymerase chain reaction). This diagnostic method consists in determining the types of the virus and their oncogenic risk, using DNA fragments of the pathogen. PCR is the diagnosis of HPV, which is the most accurate way to determine the presence of an infection.
Digene-Test. Allows at the DNA level to accurately determine the presence, type and behavior of the papillomavirus. It gives more information about the course of the disease.
Pap test. Used the least. This is one of the oldest diagnostic methods. Applies to women only. Allows you to examine human tissue affected by the virus through cytological analysis. The doctor makes a scraping and sends it for a thorough diagnosis.
Ultrasonography.

How to treat the papilloma virus?

Many people who are found to have one type of HPV want to get rid of it as soon as possible. But it should be noted right away that today there is no absolute therapy for this infection. None of the methods used will completely eliminate the infection. It is only possible to carry out HPV treatment, which will reduce the activity of the virus, prevent the manifestation of serious consequences, and also locally remove growths.

There are two main methods of treating papillomas:

Immunity boost.
Removal of pathological formation.

The first method is the use of drugs and drugs that are aimed at increasing the functionality of the body's immune system. As many experts note, by increasing immunity, the virus loses the ability to fully manifest itself and can remain in a depressed state for a long time. To increase immunity, it is necessary to adhere to the strict implementation of the following recommendations:

Pay attention to lifestyle. Exclusion of bad habits, corresponding diet food, physical exercise help human body fight papillomavirus.
HPV therapy necessarily includes the intake of vitamin complexes. This allows you to provide the body with useful and essential substances to resist various pathological processes.
An increase in immunity is also carried out by taking certain drugs (Immunal, Polyoxidonium, herbal infusions).
According to statistics, in people who take antiviral drugs, the risk of developing HPV is much reduced. Among these drugs for papillomas are Epigen Intim, Groprinosin, Allokin Alpha, Isoprinosine.

Most fast way get rid of the visual manifestation of the virus - removal of growths. To date, there are 5 ways to radically eliminate these defects:

Liquid nitrogen (cryolysis). It is carried out by using a special probe with a cotton tip. The principle of operation of this method is cold cauterization of papillomas. The growth is destroyed at the cellular level. The exposure temperature for this method of removing papillomas is about 1950C below zero. After a few days, the formation itself disappears, and a red spot remains in its place, which also disappears without a trace after a while. The danger of this method is damage to healthy tissues. It is not recommended to use cryodestruction for formations on the eyelids or face.
Laser. One of the most painless and affordable ways to remove HPV. Under the influence of the beam, the papilloma disappears without a trace from the surface of the tissues. The procedure lasts about half an hour (for one education). It should be carried out under local anesthesia (lidocaine or novocaine). This method can be used to remove papillomas on the skin of the face, on the neck, in the folds, in the armpits, on the genitals. A crust of blood remains at the site of laser influence. It cannot be deleted. It disappears on its own in 2-3 days.
Surgitron - radio wave device. Under its influence, the formation is also eliminated by cauterization. The difference between this method and the laser is that it is more traumatic and can affect healthy tissues. Radio wave manipulations are carried out under the influence of local anesthesia. After the procedure, a small crust remains on the surface of the tissue, which disappears a few days after the operation.
Scalpel. Surgical removal of papilloma today is almost not carried out even with the most difficult location (urethra, larynx, oral cavity, throat). Instead of classic scalpels, modern fiber endoscopes are used. With the help of special nozzles, they allow for precise operations to remove papillomas in hard-to-reach places.
Electrocoagulation. This is one of the old methods, which is still used in some medical institutions. The tool with which this manipulation is carried out has the form of a burner with a thin heating element. Under the influence of such an electric knife, all pathological tissues are removed to the very base. This manipulation is quite painful. In some cases, it is performed under general anesthesia.

The basis of all schemes HPV treatment is an integrated approach. Only in this case, you can count on a positive result of therapy.

Features of vulgar warts

Vulgar warts are fairly common epidermal formations associated with human papillomavirus infection.

They are also called simple or ordinary.

More often, such growths appear in children 7-14 years old, but can affect the skin of an adult and an elderly person.

Simple papillomas are assigned the ICD 10 code - B07, they are classified as viral warts.

Causes

Warts of any kind always appear on the skin due to the ingestion of the human papillomavirus.

The causative agent of common warts is HPV types 2 and 3.

The virus enters the blood through abrasions, wounds, scratches on the skin. It is believed that local and systemic factors influence the spread of the virus in the body.
Having penetrated the dermis, HPV provokes increased blood circulation in this place, the process of active division of epithelial cells and their growth above the skin surface rapidly starts - these are the functional causes of growths. This explains the rapid growth of warts, which can reach large sizes in just a week.

But warts do not always appear immediately after infection: the HPV incubation period ranges from 2 days to 8 months.

If the immunity of an infected person is sufficiently stable, then skin growths may not appear.

More often warts appear in childhood, since during this period the immune system is still not sufficiently formed. After the papillomas disappear in the child, immunity to these types of virus is developed in his body.

A prerequisite for the activation of HPV is a weakened immune system, therefore, the causes that reduce the protective functions of the body contribute to the occurrence of vulgar warts:

chronic stress;
imbalance of the immune system: oncopathology, HIV, long-term immunosuppressive treatment;
frequent colds and other viral diseases;
non-compliance with the rules of personal hygiene;
long stay in conditions of high humidity and temperature (at work);
wearing tight and uncomfortable shoes;
excessive sweating;
chronic diseases.

Often warts appear on the hands of those people (especially children) who like to bite their nails and tear off burrs. The skin is constantly injured and any infection, including HPV, can get there.

If child warts appear near the main wart or their growth is too active, then this indicates a severely weakened immune system that needs urgent correction.

Ways of infection

Not a single person is fully protected from the penetration of the virus into the body, his immunity can overcome HPV, but it is impossible to remove it from the body.

Virus infection can occur:

direct route: through direct contact with an HPV carrier;
indirectly: through household items previously used by an infected person.

You can get infected in saunas, swimming pools, shops, entrances of apartment buildings and in any other places where a large number of people are daily.

If warts have appeared in one family member, then everyone else is likely to become infected.
If warts appear on the hands, then there is a high risk of their spread to the face: when washing or shaving, if there are micro-wounds on the skin of the face.

Photo

Varieties

Common warts have several types:

"kissing"- paired papillomas located on the finger or toe in such a way that when adjacent phalanges approach, these warts touch;
periungual- located on the nail folds and can eventually destroy nail plate;
"butcher's warts"- multiple papillomas with severe hyperkeratosis. May occur on the hands and forearms. Papillomas got their name for the reason that they often appear in people who are professionally engaged in cutting fish or meat;
filiform- more common in men, appear on the face and neck;
papillomas localized on the eyelids, can provoke the development of keratitis or conjunctivitis.

If a person has a doubt that the neoplasm that has appeared is not a wart, but something else, then you should immediately contact a dermatologist and, possibly, an oncologist.

Places of localization

Most often, common warts affect the skin of the back of the hand, but sometimes they appear on the foot, toes, face, elbows, palms, and even on the head under the hair.
Often they are localized in the periungual region, which can deform the nail plate and destroy it.
In rare cases, simple papillomas grow on the oral mucosa.

Photo: neoplasm on the buccal mucosa

In childhood, vulgar warts may appear on the knees.
In less than 2% of cases, simple papillomas grow to intimate places(usually on the shaft of the penis). Such formations must be differentiated from genital warts in order to correctly draw up a treatment plan.

Clinical manifestations of vulgar warts

The clinic of vulgar warts is specific:

formed papules have a dense structure;
in appearance they resemble hemispherical formations having a round, outlined or uneven shape;
the surface is rough, in large papillomas black dots are clearly visible - thrombosed capillaries;
the wart can be covered with villi, papillae, and also striated with cracks;
in color, such growths can be different: gray-yellow, flesh-colored, gray-pink, brown;
there is no skin pattern on them;
usually one main wart appears, and daughter, smaller papillomas grow near it;
only at the first stages of development they are flat and smooth, then they begin to protrude above the surface of the skin and grow up to 1 cm in height;
when pressed, they can be painful, if they are constantly injured, they will be very painful due to inflammation.

Sometimes such warts grow and merge into one tumor-like tuberous element, which can only be removed with a scalpel.

Having examined the vulgar warts in the photo, you can easily learn to distinguish them from other skin neoplasms:

If during the year no specific treatment was used and the vulgar warts themselves did not go away, then you should definitely contact a dermatologist and immunologist.

Diagnostics

To determine that these are vulgar warts, a dermatologist usually only needs to look at them.

To clarify the diagnosis, they may additionally prescribe:

dermatoscopy- Examination of growth tissues under a microscope;
PCR diagnostics- a method of molecular genetic testing for the presence of infection.

In rare cases, a tissue biopsy of the neoplasm and DNA typing are required.

Sometimes vulgar warts are confused with the following skin formations:

verrucous lichen planus(ICD code 10 L43): when it spreads through the body, brown-violet papules are formed. On the surface of such nodules, gray horny scales are clearly visible, so they resemble warts. Lichen more affects the back surface of the feet and lower legs, multiple rashes;
molluscum contagiosum(ICD code 10 B1): this is the name of the formations on the skin that appeared as a result of infection with the smallpox virus. To the touch they are dense, in color - transparent pinkish or flesh. These hemispherical outgrowths in the middle have an umbilical indentation, which can be used to distinguish molluscum contagiosum from warts. In size, they do not grow larger than a pea. If you press on such a growth, a grayish-white mass will stand out from it. Papules remain on the skin for up to 3 months, after which they disappear on their own.

Photo: molluscum contagiosum on the body of a child

Sometimes you can confuse flat youthful warts with vulgar ones.

Their distinguishing feature is the multiplicity of the appearance of relatively identical skin formations that do not cause subjective sensations.

Complications

Fortunately, common warts rarely become malignant, but despite this, timely and adequate treatment of this disease under the supervision of a doctor is necessary.

Sometimes self-medication leads to inflammation of the papilloma, which already requires more serious therapy.
Such a complication is possible due to regular injury to the growth during self-treatment, as well as frequent rubbing with shoes, a chain and other things, if the wart interferes with daily life.

Video: "Removal of vulgar warts by cryodestruction"

Methods of treatment

To understand how to treat warts, you need to know the nature of this disease.

Since neoplasms appear as a result of the activation of the virus in the body, it is necessary not only to remove the papillomas themselves, but also to strengthen the immune system by taking antiviral and immunomodulatory drugs.

How to remove warts near the vagina? Find out here.

What to do if there are warts in the groin? Find out here.

Vulgar warts can go away on their own within 1-2 years, but they must be disposed of under the supervision of a doctor if:

plans to visit the pool;
if warts quickly spread throughout the body;
if the wart physically interferes or is regularly injured;
if it causes external discomfort.

Today, this can be done by resorting to hardware methods for removing neoplasms, properly selected drug complexes, and if the wart is small, then folk recipes can help.

Medical

Today, the following drugs are actively used to combat papillomas:

pills: Isoprinosine, Groprinosine;
solutions for external treatment of warts: Solcoderm, Verrukacid, Ferezol, Supercleaner, Mardil zinc max;

Photo: preparations for cauterization of neoplasms

salicylic patch: Salipod;
wart removal pencil: Lapis;
injection: Ferrovir;
powder for injection: Immunomax;
oil preparation: Edas-801;
antiviral drugs: Oxolinic ointment, Panavir;
immunomodulators: Immunal, Polyoxidonium, Arbidol, Anaferon, Interferon.

Photo: a drug to restore immunity

Before using any of them, you should consult a dermatologist.

The greatest effectiveness can be achieved if some of the above medicines are correctly combined, but only a doctor should make such an appointment.

Surgical

Modern cosmetology allows you to quickly get rid of any type of warts using hardware techniques or a scalpel:

– modern way based on the evaporation of neoplasm cells by a laser beam. After the procedure, a bandage is applied to the impact site. After a while, it must be removed, and after 5-7 days, clean skin will be visible under the formed crust;

Photo: laser removal of neoplasms

- a procedure identical in action to the first, but here the wart is removed by exposure to radio waves. The only disadvantage of the procedure is that it is costly and is not yet as common as other methods of removing neoplasms;

cryodestruction- freezing the wart with liquid nitrogen, as a result of which it instantly dies. After the procedure, a bubble appears at the site of the growth, as after a burn. After 1-1.5 weeks, it bursts, and healthy skin is visible in its place;
electrocoagulation- burning the wart with electric current. After the procedure, a dark scab remains at the site of exposure, which disappears after 1-2 weeks;
removal of warts with a scalpel practically not used, but it is necessary in the case of huge warts. If the neoplasms are small, then they resort to less traumatic hardware methods.

Immediately after each procedure, there is a small chance of a scar appearing, which heals over time and it becomes not visible where the hardware impact was performed.

Folk methods

All folk methods are designed for regularity and duration of use, so you need to tune in to the result and not give up if, after the first few procedures, the warts begin to dry out.

More often than others, the following recipes are used by the people:

3 times a day, lubricate the warts with celandine juice. This method is universal for all types of warts: it helps to remove vulgar, plantar, filiform papillomas;

Photo: cauterization of growths with celandine juice

applying garlic gruel or a thin plate to the neoplasm at night, fixing the agent with a plaster.

Photo: applying garlic slurry to the growth

make a compress for the night from the crushed fruits of red mountain ash. Fix the gruel with a plaster.
treatment of papillomas with acidic fruit juice: green apples, lemons.
Lubrication with vinegar is a simple and effective remedy.
rubbing chalk or cement powder into a steamed wart.
it is useful to drink drinks that strengthen the immune system: tea from rose hips, dry raspberries, currant leaves, lemon, etc.

Prevention

It should be daily and lifelong - this is the only way to be sure that ugly growths will never appear on the hands, face and other parts of the body.

Preventive measures include:

daily personal hygiene;
wearing comfortable shoes made from natural materials;
visiting baths, saunas and swimming pools only in personal waterproof shoes;
wearing cotton socks and changing them daily;
conducting healthy lifestyle life;
avoidance of stress, hypothermia;

What to do if a wart appears on the nose?

How to treat hanging warts on the neck? Find out here.

immediate treatment of wounds and any scratches with iodine or brilliant green;
use only personal manicure devices, razors, etc.;
strengthening immunity;
hardening;
seasonal intake of multivitamin complexes.

If you teach a child from childhood to follow the above rules, then throughout his life he will be protected from the manifestations of an insidious virus.

Every third person is infected with the papilloma virus. In the body, the virus for a long time may not manifest itself in any way, but as soon as a person’s immunity decreases, it is activated, and growths and warts appear on the skin. In the absence of therapy, after some time the disease will progress, and ugly skin growths will spread throughout the body.

I must say that it will not work to completely remove the virus from the body - once infected with it, a person is doomed to live with it all the time. But, it is possible to deactivate it, therefore, at the first signs of the disease, it is necessary to contact a specialist and begin competent treatment.

Skin papilloma is a benign skin disease that develops after the papillomavirus enters the human body. The incubation period of the virus lasts from several days to several months. After the virus enters the human body, it begins to actively multiply and infect epithelial cells. A cell infected with a virus becomes a benign tumor cell.

Under favorable conditions, benign cells can become malignant and cause oncological pathologies.

In 60% of cases, HPV infection occurs during sexual contact, and the virus can also enter the body through damaged mucous membranes.

The following factors can provoke the appearance of skin growths and warts:

decreased immunity;
disorders of the nervous system, including stress and depression;
bad habits;
taking medications for a long time;
recent infectious diseases.

When neoplasms appear on the surface of the epithelium, in no case should they be subjected to mechanical stress, since in this case healthy cells will become infected, and the disease will take on a multiple form - papillomatosis.

HPV types by code and their features

So, according to HPV, they are divided as follows:

if the growths affect the lips, this is the D23.0 group;
eyelids - D23.1;
ears and external auditory canal - D23.2;
facial area - D23.3;
head and neck area - D23.4;
stomach, back and sternum - D23.5;
shoulders and arms - D23.6;
the area of the hip joint - D23.7;
if it is not possible to clarify the localization - D23.9.

Such outgrowths may have an increased oncogenicity, they are allocated to a special group - B97.7, and anogenital outgrowths and warts belong to the A63.0 group.

As for warts localized on internal organs, they are classified as follows:

growths on the pharynx and oral cavity - D10;
and in the anal area - D12;
on the respiratory organs and in the middle ear - D14;
in the mammary gland - D24;
neoplasms of a benign order in the uterus - D26;
in the urinary organs - D30.

What is the danger of virus No. 10 according to the international classification of diseases?

Just like others, they can lead to the development of cancer. To a greater extent, this affects people who are at risk:

HIV-infected;
alcohol abusers;
smokers;
having multiple and promiscuous sexual relations.

In addition, the virus according to ICD 10, localized can lead to chronic diseases eyes and even to complete blindness, a papilloma located in the sky can provoke respiratory spasms and oncological processes in the larynx - to a loss of sensitivity, in the nose - to a loss of smell.

Reference! All these phenomena, of course, do not occur immediately, but develop over time, so it is very important to contact a specialist in a timely manner and properly treat the pathology.

Signs of illness

Most often, warts appear. This localization is typical for children and adolescents.
Simple warts are hard formations with a size of 1 mm. Such formations tend to merge, so they often capture large areas.

Plantar warts can be painful to walk on and are often confused with calluses, however, unlike warts, calluses have a smooth surface and skin pattern. Flat warts have the color of normal skin and are represented by dense papules. Their form can be different, and they are often accompanied by itching, flushing, soreness and inflammation.

Acrochords are most common after 50 years of age. These are filiform warts that are most often localized around the eyes, in the groin, in the armpits and on the neck. In fact, these are long elastic skin formations, reaching a length of 5 mm. When traumatized, the formations can become inflamed. Often formed in the presence of polyps in the large intestine.

Warty epidermodysplasia is quite rare. These are multiple red plaques on the feet and hands. This pathology often transforms into squamous cell carcinoma.

Local hyperplasia is a neoplasm in the oral cavity. Represents papillary papules that tend to merge.

Sometimes they are not dangerous, and in other cases they are extremely susceptible to malignant transformation. Very often they are formed simultaneously with oncological neoplasms in the cervix.

A rare juvenile disease is accompanied by an overgrowth of tissue on the vocal cords, which leads to impaired air circulation and difficulty in speech.

Mechanism of infection

Infection is facilitated by microtrauma to the skin - scratches, wounds, abrasions.
The routes of transmission of the virus are as follows:

the most common way is sexual contact;
non-compliance with personal hygiene when visiting public toilets, showers, gyms, baths, etc.;
infection can occur from an infected mother to a child during childbirth;
self-infection - damage to one's own neoplasms when shaving, rubbing with clothes, etc.

Reference! In the environment, the virus is extremely unstable, so most often infection occurs directly by contact with the carrier.

Places of localization

In principle, papillomas can appear on any part of the body, on:

head - may be in the form of a thickened formation or formation on a leg;
hands and feet;
chest, back and neck;
face;
ears;
eyes;
lips, tongue, mouth;
in the armpits;
internal organs.

Diagnostic methods

Diagnosis of labor disease is not. With a visual examination of the formation, the specialist will determine the presence of the disease. If papillomas are localized on the genitals, a woman needs to contact a gynecologist, and a man - to an andrologist. At the same time, women most often have a visual examination, and men will have to undergo ureteroscopy, since the pointed ones can also affect the urethra.

In order to finally verify the correctness of the diagnosis, as well as to determine the type of disease according to the ICD, it is necessary to undergo an additional examination - PCR. To do this, the patient must donate blood and scrapings.
Treatment of papilloma according to ICD 10.

Treatment of papilloma is based on its removal. There are many ways to remove the build-up, and the optimal method is determined by a specialist based on the localization of the formation and the vastness of the affected area.

It could be:

scalpel removal;
cryotherapy.

Reference! You can also remove warts with folk remedies. It will take more time, but the result usually takes place. The most commonly used plants, which contain a large number of phytoncides - celandine, Kalanchoe, garlic and others.

Immunomodulatory drugs

In addition, patients are prescribed immunomodulatory drugs:

drug Likopid;
drugs from the interferon groups - Viferon, Kipferon;
herbal immunomodulators - echinacea preparations.

Antivirals

Antiviral agents may be prescribed:

Isoprinosine

The task of treatment is to reduce the activity of the virus, strengthen the immune system and prevent the spread of growths on the skin and internal organs.

Infection prevention

Unfortunately, by the age of 20, almost all people are infected with the papillomavirus, this is because the virus is transmitted through any skin contact (with the exception of anogenital warts, which are transmitted only through intimacy).

To prevent an exacerbation of the infection, you must:

undergo a diagnostic examination every six months;
strengthen immunity;
if necessary, remove the warts that have appeared.

To prevent HPV infection, you must:

observe hygiene rules;
use barrier methods of contraception;
vaccinate or cevarix.

Pregnant women in order to avoid transmission of the virus to the child are recommended to diagnose the presence of the disease in a timely manner and be treated.

Asymptomatic carriers of the virus need to undergo cytostatic therapy as a preventive measure - they will inhibit the development of the infection.

Conclusion and Conclusions

There are more than 100 viruses that can cause skin growths. That is why they need a certain systematization and special designations.

ICD - the international classification of diseases includes information about the virus itself, the causes of the development of pathology, symptoms and drugs that can help cope with the disease.

From time to time there is a revision of the classification, in which case its number changes. ICD 10 is the tenth version of the classification, using which each doctor can check the therapy prescribed by him in accordance with the indicators, and in the case of papilloma, also determine the type of virus.

Warts, or skin papilloma according to the ICD, have a common nature for all types, types and localizations. Modern research has clearly established and proved that all papillomas of the skin, mucous membranes, and internal organs are of a viral nature.

The cause of their appearance is the human papillomavirus (HPV). Based on the tenth revision of the ICD, they primarily belong to group B, which includes all kinds of viral infections, accompanied by lesions of the mucous membranes and skin.

It should be clarified that each of the following classes has its own subparagraphs and certain exceptions, but they are not indicated due to the fact that the information provided is aimed at highlighting the problem of papillomas.

The class B00 - B09 includes:

A disease of a viral nature, where changes in the skin and mucous membranes are observed:

B00 Infections due to herpes simplex virus;
B01 Chicken pox;
B02 Shingles;
B03 Smallpox (considered eradicated since 1980, but retained in the classification due to its extreme danger);
B04 Infections associated with monkeypox;
B05 Measles;
B06 Rubella;
B07 Warts caused by a virus.

2. Includes all simple papillomas.

Warts are a skin disease caused by a filterable virus and characterized by small tumor-like benign non-inflammatory formations.

Warts are benign skin growths caused by various types of human papillomavirus (HPV). Frequency. Warts are a common dermatosis, 7–10% of the general population. The predominant age is children's, youthful.

Classification Palmar - plantar Deep hyperkeratotic Superficially - mosaic Flat (youthful) Genital warts.

Mechanism of infection

Infection is facilitated by microtrauma to the skin - scratches, wounds, abrasions. The ways of transmission of the virus are as follows:

the most common way is sexual contact;
non-compliance with personal hygiene when visiting public toilets, showers, gyms, baths, etc.;
infection can occur from an infected mother to a child during childbirth;
self-infection - damage to one's own neoplasms when shaving, rubbing with clothes, etc.

Reference! In the environment, the virus is extremely unstable, so most often infection occurs directly by contact with the carrier.

Causes

Etiology and pathogenesis of HPV - 2 and HPV - 3 - common warts; HPV - 1 - hyperkeratotic; HPV - 2 and HPV - 4 - superficial varieties of palmar - plantar warts; HPV - 3 - flat warts Incubation period - from several days to 8 months. Way of transmission - contact - household.

Genetic aspects. Several hereditary diseases are known that are accompanied by the appearance of warty growths on the skin, for example: Warty epidermodysplasia (226400, r).

Hereditary predisposition to the development of multiple viral warts Warty X - linked epidermodysplasia (305350, A) Van - den - Bosch syndrome (*314500, A): mental retardation, atrophy of the choroid, warty acrokeratosis, anhidrosis, skeletal deformities.

Risk factors - a decrease in the immunological reactivity of the body, increased sweating of the hands and feet.

Pathomorphology. Acanthosis, papillomatosis, hyperkeratosis with areas of parakeratosis, vacuolar degeneration of the cells of the spiny and granular layers of the epidermis.

Types of HPV according to the ICD-10 code and their features

Depending on the location and type of papilloma, according to ICD-10, there are multiple items classified as pathologies of various organs and systems, classifying them. This is due to the fact that the methods of treatment and prognosis for such growths are determined not by the HPV itself, but by the place, including the thoracic region and the type of its manifestations.

Skin papilloma code according to ICD10, the most common case, belongs to the category of benign skin diseases, of a different nature, relative to group D23 processes. It is classified according to the location of growths on the body:

D23.0 lips;
D23.1 Eyelids and adhesions;
D23.2 Ear, including external auditory meatus;
D23.3 Other areas of the face (cheekbones, cheeks, nose, chin);
D23.4 head and neck;
D23.5 back, rib cage, belly;
D23.6 arms and shoulder joint area;
D23.7 legs and in the region of the hip joint;
D23.9 Location unspecified.

Treatment of all kinds of growths caused by a virus depends primarily on its localization. Thus, formations classified by the international code according to ICD-10 as skin papillomas, regardless of their location, undergo standard treatment methods in the form of cryodestruction, thermocoagulation, laser removal and the use of antiviral or immunostimulating agents.

Papilloma ICD-10 of the nose, mouth, pharynx, eyelid and larynx, breast papilloma fall under several points at once, but they require similar treatment in the form of small operations that are insignificant in terms of trauma. Treatment with conventional methods is rather difficult due to the impossibility of their application in a single area.

HPV types by code and their features

Genital warts, or they are also called viral papillomas, are a widespread disease. These are soft fleshy flesh-colored warts that can appear on the genitals or around the anus, both women and men, often of a young age. They can also appear on the skin of the face, auricles and around the mouth.

Typically, they are due viral infection caused by the pathogen, the human papillomavirus (HPV). For the most part, these are harmless formations, but sometimes they can have serious consequences, up to cancer.

The cause of infection is mainly unprotected intercourse with an infected partner, but they can also be transmitted through infected objects, such as medical instruments.
The infection goes away without a trace in most people.
Often patients are not even aware of their infection, but at the same time remain virus carriers.
The asymptomatic stay of the virus can range from 3 weeks to several years.
The virus is in a latent state and appears only from time to time.

IN international classification diseases, the disease is listed under the code A 63.0, which means anogenital (venereal) warts.

The virus according to ICD 10, just like other types of papillomas, can lead to the development of cancer. To a greater extent, this affects people who are at risk:

HIV-infected;
alcohol abusers;
smokers;
having multiple and promiscuous sexual relations.

In addition, a virus according to ICD 10, localized on the eyelid, can lead to chronic eye diseases and even complete blindness, papilloma located in the sky can provoke respiratory spasms and oncological processes in the larynx, in the tongue - to loss of sensitivity, in the nose - to loss of smell.

Reference! All these phenomena, of course, do not occur immediately, but develop over time, so it is very important to contact a specialist in a timely manner and properly treat the pathology.

Symptoms (signs)

Most often, warts appear on the hands. This localization is typical for children and adolescents. Simple warts are solid formations ranging in size from 1 mm. Such formations tend to merge, so they often capture large areas.

Clinical picture

Common warts Single or multiple nodules with a diameter of 0.2–0.5 cm, hemispherical, clearly defined, dense, grayish-yellow in color, with hyperkeratosis on the surface Localization - easily injured areas, i.e. fingers, hands, knees.

Plantar warts (horny wart, palmar - plantar wart) Rash elements. At first, a small, shiny, later keratinizing papule or plaque is yellowish-gray in color with a rough, uneven surface.

The formation is usually solitary, but there are 3–6 or more warts. Small elements can merge with the formation of a "mosaic" wart.

Warts located in places of pressure are painful Localization: soles in the projection of the heads of the metatarsal bones, heels, fingertips, other supporting areas of the foot.

Flat warts Flat, well-defined papules with a smooth surface, 1–5 mm in diameter, rising 1–2 mm above the surrounding skin. Light brown, pink or normal skin color. Always multiple isolated elements arranged in groups; in places of injuries, a linear arrangement is possible. Localization: favorite localization - face, back surface of the hands, lower legs.

Diagnostic methods

Diagnosis of labor disease is not. With a visual examination of the formation, the specialist will determine the presence of the disease.

If papillomas are localized on the genitals, a woman needs to contact a gynecologist, and a man - to an andrologist. At the same time, women most often have a visual examination, and men will have to undergo ureteroscopy, since genital warts in men can also affect the urethra.

It could be:

scalpel removal;
laser removal;
electrocoagulation;
cryotherapy.

Reference! You can also remove warts with the help of folk remedies. It will take more time, but the result usually takes place. The most commonly used plants, which contain a large number of phytoncides - celandine, Kalanchoe, garlic and others.

Immunomodulatory drugs

In addition, patients are prescribed immunomodulatory drugs:

drug Likopid;
drugs from the interferon groups - Viferon, Kipferon;
herbal immunomodulators - Panavir, echinacea preparations.

Antivirals

Antiviral agents may be prescribed:

Isoprinosine
Indinol.

The task of treatment is to reduce the activity of the virus, strengthen the immune system and prevent the spread of growths on the skin and internal organs.

Diagnosis is usually straightforward and is based on the clinical picture. The differential diagnosis for plantar warts is carried out with callus, which is a continuous horny layer without a papillary structure; with genital warts - with broad condylomas (manifestations of secondary syphilis), which have a dense texture, a wide base and often a macerated surface, on which the pathogen is found - pale treponema.

What tests are needed?

If a woman notices neoplasms, it is necessary to contact a specialist to establish the correct and accurate diagnosis.

A cytological smear helps to find an atypical cellular form in the uterus. If the age is more than thirty years, then a screening test is recommended, it is carried out in combination with a smear and determines the necessary information about the virus. For girls under the age of thirty, this procedure is prescribed with positive smear results. If abnormal cells are found, additional treatment is prescribed.
There are no screening tests for men, they use the physical method of research. This examination includes an external examination of the penis and anus. Experts recommend that men who practice homosexual relationships periodically take a swab from the anus at least once a year.
More often than not, a physical examination is sufficient to make the correct diagnosis. A special substance changes the color of the growths and highlights them for better detection. Acetic acid a weak solution is also used to detect the disease, a strong burning sensation and discomfort will be felt in the infected areas.

To whom will he turn?

Diagnose the disease, can a therapist or family doctor. But for a successful cure, you need to seek help from a gynecologist, urologist or dermatologist.

Infection prevention

This virus can only be transmitted by another person, a carrier of genital warts. It happens that the carrier has no symptoms at all and external signs disease, but this does not exclude the possibility of disease from it.

Sexual life is the most common cause of the transmission of this disease.
The probability of the disease is much higher in men whose sex life is based on homosexual relationships.
The small age of people, and their active sexual relations with a large number of partners, is also included in the zone of increased risk of infection.
Sex with a recently recovered partner who is still infected is the most common cause of genital warts in a healthy person.
Much less likely to be transmitted through various household items, such as someone else's towel.
There are cases of genital warts after visiting public pools, saunas and baths.
Children, including a very young age, are also prone to warts.
There is a chance to pick up this virus during childbirth, when the child passes through the mother's genitals.
In everyday life, using the personal hygiene products of the carrier, the possibility of getting sick in a child is extremely small.

Unfortunately, but absolutely all people become infected with HPV by the age of 18-20. This is due to the fact that it is transmitted from infected people to non-infected people through normal skin contact.

Since the entire adult population is a virus carrier of these infectious agents, they constantly infect the younger generation. The exception is the strain that causes anogenital warts - it is transmitted only through sexual contact.

To prevent an exacerbation of the infection, you must:

undergo a diagnostic examination every six months;
strengthen immunity;
if necessary, remove the warts that have appeared.

To prevent HPV infection, you must:

observe hygiene rules;
use barrier methods of contraception;
vaccinate with Gardasil or Cevarix.

Pregnant women in order to avoid transmission of the virus to the child are recommended to diagnose the presence of the disease in a timely manner and be treated.

Asymptomatic carriers of the virus need to undergo cytostatic therapy as a preventive measure - they will inhibit the development of the infection.

Treatment

The correct treatment is determined by a specialist who, based on the shapes and sizes, will determine the chemical or destructive treatment.

With one or several small formations, the method of cauterization with solutions of solcoders, pedophyllin and condilin is used. Pedophilin inhibits the development of genital warts, the other two substances destroy the formations.
A special spray - epigene, has an antiviral, anti-inflammatory effect, stimulates an increase in immunity, it is used in a local form. Also, a special ointment is applied to genital warts, which has identical properties.
It is necessary, in combination with local treatment, to carry out stimulating immunity and antiviral therapy. These may be rectal suppositories for this virus. Genferon stops the reproduction and growth of genital warts. The action of Panavir is similar, it is available in the form of suppositories and ointments. The intake of cycloferon stimulates the fight against the disease by the immune system.
Also, special preparations for warts are taken orally, which increase the level of interferon, for example, isoprinosine. Often, taking this drug stops growth and destroys the formations.

Treatment. Electrocoagulation, diathermocoagulation, cryodestruction with liquid nitrogen, solid carbonic acid, lubrication of thuja tincture, applications of 5% tebrofen ointment.

With multiple warts - hypnotherapy, inside burnt magnesia (0.5 - 1 g 3 times a day), fowlers solution (5 drops 3 times a day). When plantar warts are also shown chipping 1% solution of novocaine (2 - 3 ml), surgical excision, electrophoresis of 10% solution of novocaine; with flat warts - lubrication (3 - 7 times) with fresh celandine juice, vitamin B12 / m, UVI.

Diagnosis code according to ICD-10 B07

With flat warts Inside magnesium oxide 0.15-0.25 g 3 r / day for 2-3 weeks Topical keratolytic ointments with salicylic and benzoic acids, tretinoin 2 r / day for 4-6 weeks, phonophoresis with 50% interferon ointment.

The external manifestation of the human papillomavirus are papillomas on the skin. Neoplasms, popularly referred to as warts, are benign in nature. But a seemingly harmless growth can undergo malignancy and transform into a cancerous tumor.

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