| Editor/Curator: Ou Jiarui Typesetting: cici
Editor-in-Charge: Yellow & Fanny Review: Li Yun
One day, a small friend came to ask Xiao Liang, saying that he had an indigestion on his hand, but it was not painful or itchy, and he wanted to know what it was.
In fact, the induration knot on this little sister's hand is an ordinary wart.
What is common warts?
Common warts are caused by infection with the HPV virus and can occur in various parts of the body, but are more common on the hands. In addition to the bean-sized skin-colored nodules seen in the picture, common warts can also be larger, darker nodules.
The texture of common warts is tough, the vast majority of people are painless and itchy, some people may be accompanied by a slight pain or itching sensation, and if combined with wart damage and infection, the discomfort will be exacerbated.
Although it is benign, it is contagious to a certain extent, and it is often transmitted through direct contact or indirect contact with infectious substances, especially self-transmission caused by scratching and other reasons, the longer and more, the more headaches.
So why is this thing growing?
What are the predisposing factors for common warts?
Common warts mainly have the following major precipitating factors:
Direct or indirect contact with infectious substances, such as daily necessities such as sharing towels with infected people;
Decreased immunity, especially those who receive organ transplantation, leukemia, lupus erythematosus and other immunocompromised people, are more likely to be infected under the same exposure opportunities;
Skin trauma coupled with exposure to infectious substances, such as friends who have common warts scratch their own skin, are also a major way of infection.
If you want to prevent common warts, you can also prevent the above three points
How should common warts be treated?
There is currently no specific antiviral therapy for common warts, and the existing strategy is to focus on destroying the wart, stimulating a local or systemic immune response, and regulating local normal skin growth.
●Topical medication
Salicylic acid ointment, 5-fluorouracil ointment, etc. are effective treatment drugs for common warts. Among them, salicylic acid ointment mainly plays the role of warts keratin peeling.
5-Fluorouracil ointment can inhibit and destroy excessive proliferation of cells, which can cause local pigmentation, and should be used with caution on the face and neck.
In addition, the efficacy of topical drugs has certain limitations, if the wart volume is too large, or too thick, the effect of external drugs may not be good, it is recommended to choose other therapies or assist other treatment methods under the guidance of professional doctors.
Topical medications have a relatively slow onset of action, due to the fact that the common warts are tougher and the skin surface is relatively hard.
●Intradermal injection
What should I do if the effect of external medication is not good, and there is no obvious effect after 1-2 months of medication? Injection inside the lesion! Injecting the drug directly into the warts couldn't be more tactful.
At present, pingyangmycin is commonly used in clinical injections in warts once a week, especially for those who are stubborn common warts.
●Physical therapy
The above is all about medicinal chemical attacks, and then let's talk about physical output.
Liquid nitrogen freezing, microwave, electrocautery, etc. are all more rapid treatment methods, allowing warts to necrosis, shedding or directly burning wart tissue in a short period of time.
Suitable for patients with fewer warts, smaller volumes, and shallow warts.
●Surgery
Physical therapy also requires a recovery period, and if you still want to be fast, you can also choose surgery. Direct resection of the wart, after resection, auxiliary external drugs or other therapies to prevent recurrence, simple, effective and immediate!
In order to avoid scars that are generally not used for warts on the face and neck, not all people are suitable for surgery (such as excessive wart area, excessive number, etc.), and it is absolutely forbidden to see this article you remove yourself!
● Photodynamics
Lesions are widespread, easy to repeat, and conventional drug surgery is not effective, and photodynamic therapy can also be considered
Here we have to mention some "soil methods": "tie up the knots with a rope", "apply incense ash", "vinegar batter paste", etc., all of which have no therapeutic effect.
Write at the end:
When it comes to the HPV virus, do you think of "cervical cancer" first? Some small partners have questions: "Do you have common warts because you have not been vaccinated against HPV?" ”
No, the HPV virus has a large family, some of which are associated with cervical cancer, and some of which are related to our common common warts and plantar warts.
Common warts and plantar warts currently have very effective treatment methods, so you don't have to worry too much about it
Click to share + watch, so that more people know it. What skin troubles do you have, leave a message in the comment area to tell Xiao Liang!
〔Reference〕
Zhang Xuejun,Zheng Jie. Dermatological venereology. 9th Edition[M]. People's Medical Publishing House, 2018.
[2] Grover S, Grewal R S. Fitzpatrick's Dermatology in General Medicine[M]. McGraw-Hill, Health Professions Division, 2008.
Zhao Yan. Clinical dermatology in China[M]. Jiangsu Science and Technology Press, 2010.