What Are Mosaic Warts?

Plantar warts are common warts that occur in the soles of the feet. It is mostly caused by human papillomavirus infection, and can be inoculated through minor damage to the skin, and thus more and more. Vegetation that occurs in the heel, metatarsal head, or between the iliac crests is a common wart. In the medical literature of the motherland, it is called "suffix" and "niu Chengxi".

Basic Information

TCM disease name: Foot
English name: plantar wart
Visiting department: dermatology
Multiple groups: Trauma history, immunocompromised person
Common locations: Sole of foot

Common causes: Caused by herpes simplex virus type 1, related to compression, friction, trauma, and sweating
Common symptoms: Skin lesions are small shiny gray-yellow papules with rough, thorny surfaces
Contagious: Have
way for spreading: Infected by microinfestation of the skin

Causes of plantar warts

Traditional Chinese medicine believes that this disease is mostly caused by qi and blood disharmony, unreasonable sensibilities, exacerbation of external evils, condensed skin, or anger caused by anger, liver dryness, and disrespectful tendons and veins. Rubbing while a rash occurs. Modern medicine believes that plantar warts are caused by human papilloma virus (HPV). Is a type of common wart. Caused by direct contact with the infection (and also self-contact), trauma and low or defective cellular immunity are also important causes. Human papilloma virus can be directly inoculated and transmitted through small damage to the skin, so more and more skin lesions, coupled with daily stress on the feet and the friction of shoes, aggravate the condition and make treatment more difficult.

Clinical manifestations of plantar warts

1. May be consciously painless or without any symptoms;

2. The skin lesion is a round papillary keratinous hyperplasia, surrounding the thickened horny ring to cut off the surface stratum corneum, there is a loose keratinous soft core, and small black spots formed by rupture and extravasation of capillaries are visible. If it contains multiple horny soft cores, it is called mosaic warts.

3. Occurs in the heel, metatarsal head, or compression between the hips.

Plantar wart diagnosis

Cause

Mostly caused by HPV-1 and related to compression, friction, trauma, and sweating

2. Occurrence area

Compression of heel, metatarsal head or intercondylar area. It can occur in any part of the sole of the foot, but there are many pressure points on the foot, especially in the middle area of the sacrum.

3. Characteristics of rash

Small shiny pimples, the size of mung beans, gradually increasing to the size of soybeans or larger, the surface is rough, thorn-like, grayish yellow or dirty gray, the state is clear, the thick cuticle ring is wrapped around, if the surface cuticle is removed, visible Capillary rupture and small black spots formed by extravasation and solidification.

4. Conscious symptoms

It can be painful or without symptoms.

5. Course of disease

The course of the disease is chronic and can resolve naturally. It is generally believed that children are easier to subside than adults, and those who are sweaty or have abnormal metatarsals are not likely to subside.

6. Prognosis

It is self-limiting and can subside on its own.

7. Pathological changes

It is basically the same as a common wart, but the entire damage is trapped in the dermis, with thicker stratum corneum and extensive keratosis. Vesicularized cells and inflammatory infiltration are more pronounced.

Differential diagnosis of plantar warts

It should be distinguished from corns (eye tenderness is obvious) and palate (wax yellow horny plaques, slightly thickened in the center, clear skin lines, and unclear edges).

Plantar Wart Treatment

Current treatments include systemic therapy, local medication, physical therapy, and acupuncture. Patients should go to regular hospitals for treatment.

Systemic treatment

(1) Chinese medicine and traditional Chinese medicine: Yangxue Pinggan, Huoxue Tongluo, reconciliation of qi and blood, Huoxue detoxification, and softness are the rules of treatment.

1) External treatment method Qianjin powder is applied topically; The plum meat is soaked in saline for a whole day and night, and it is mashed into mud. Apply the affected area a little at a time; Soak the affected area with decoction. 1 dose daily, can be re-slag and then fry, soak each dose 2 to 3 times, each 30 minutes.

2) Spot the wart body and seal it with adhesive tape.

Recommendation: Plantar warts are caused by a human virus infection, and traumatic treatment is not recommended.

(2) Interferon.

(3) Treatment vaccine.

2. Topical drug treatment

Most wart patients can resolve on their own within 1 to 2 years after the onset of the disease. Therefore, the effectiveness of various local treatments for warts should be evaluated with special care, and some therapies that can cause permanent scars should not be used.

3. Physical therapy

Cryotherapy, electrocautery therapy, laser therapy, and infrared coagulation therapy are suitable for a small number of plantar warts.

4. Acupuncture treatment

Fire acupuncture is simple and easy to treat plantar warts.