Treatment of Recalcitrant Plantar Wart Unresponsive to Cryotherapy with Acupuncture and Moxibustion: A Case Report

Objectives: Plantar wart is a common viral skin disease caused by human papillomavirus infection and poses a therapeutic challenge in the paediatric patient population. Acupuncture and moxibustion are effective treatments for a wide range of skin conditions.Case report: This study presents the case of a 9-year-old girl for whom complete resolution of recalcitrant warts was achieved with acupuncture and moxibustion treatment.Results: After 20-week treatment, the wart lesions and pain were completely resolved. At the 6-month follow-up, the lesions remained fully resolved.Conclusion: This result suggests that acupuncture and moxibustion could be effective therapeutic strategies for plantar warts.

Plantar Papules and Plaques: A Dermoscopic-Histopathological Correlation

Background: Painful lesions affecting the plantar aspect of the foot are routinely encountered in daily practice, and plantar wart, corn, and callus are the most common conditions. Although the clinical examination is sufficient to clinch an accurate diagnosis, atypical presentations indicate the need for invasive investigations like skin biopsy. Here we evaluated dermoscopic patterns of painful lesions affecting the plantar surface. Objectives: The current study aimed to, firstly, investigate the dermoscopic patterns and differentiate between painful papules and plaques on the foot, and, secondly, to analyze the histopathological correlation of these dermoscopic patterns. Methods: Following a cross-sectional design, the current study was carried out on patients with the clinical diagnosis of painful lesions of foot suggestive of plantar wart, corn, and callus referring to a tertiary care center from June 2019 to Jan 2020. Dermoscopy analysis and biopsy were performed for all participants. Results: Among 92 patients with painful plantar lesions, 56, 22, and 15 had a plantar wart, corn, and callus, respectively. Dermoscopy of warts revealed red dots (89.28%) and yellow halo (82.14%). A translucent central core (100%) and whitish ring (81.81%) on dermoscopy of patients with corn. Dermoscopy of callus demonstrated opaque yellow area in all (100%) the patients. Dermatoglyphics were absent in plantar wart in contrast to corn and callus, wherein they were preserved. Conclusions: Dermoscopy can be considered as a rapid, non-invasive, diagnostic tool in the daily practice of a dermatologist. Here, it assisted in distinguishing clinically akin painful plantar papules and plaques. These dermoscopic patterns also were well correlated histopathologically.

Treatment of Recalcitrant Plantar Wart Unresponsive to Cryotherapy with Acupuncture and Moxibustion: A Case Report

This study presents the case of a 9-year-old girl for whom complete resolution of recalcitrant warts was achieved with acupuncture and moxibustion treatment. This result suggests that acupuncture and moxibustion could be effective therapeutic strategies for plantar warts in the paediatric patient population.

Ultrasound Therapy in the Treatment of Plantar Wart: A Case Study

Verucae or plantar warts is a painful skin condition that demonstrates a high resistance to various treatments. They can be caused by trauma or human papilloma virus. The infection is mostly caused by a breach in the skin. The virus is usually contacted by walking barefoot in community swimming pool areas. The condition is common in sports persons. Our research focused on warts that occur on plantar surface of foot also known as plantar warts. They result in pain with pressure on weight bearing surfaces so walking is difficult and painful. Risk factors include using community showers barefoot, previous history of warts and decreased immune function. Case Report: We present a case report of a female aged 24 years who was clinically diagnosed with plantar wart. She developed recurrent plantar warts. For a year she was treated with pairing and punch excision with no success. Then ultrasound program was initiated with dosage of 0.6 watt /cm2 and increased up to 1 watt/cm2 for 15 min given at 1-week interval for 15 weeks. At the end of 15th week, the plantar wart had completely disappeared.

CLINICAL CHARACTERISTICS AND EVALUATION OF THE EFFECTIVE TREATMENT OF CUTANEOUS WARTS BY ELECTROSURGERY

Background: Cutaneous wart is a common disease caused by the infection of Human Papillomavirus, this disease has diverse clinical characteristics and many different treatments. We conducted this study to evaluate the clinical features and the efficacy electrosurgery treatment. Methods: A total 75 patients was diagnosed with cutaneous wart and treated by electrosurgery method at Dermatology Clinic of Hue University of Medicine and Pharmacy Hospital. Results: The age has a wide distribution. The female/male ratio was nearly egal. Most patients had a single lesion. Plantar wart was predominate with 63.3%. After the procedure, 90.8% of patients had mild and moderate pain. The rate of post-operative bleeding was high 85.3%. In the first week, the dried wound was 64.2%. The average healing time was about 4 weeks. The infection rate was 11%. Conclusion: The most common clinical form was plantar wart; electrosurgery had many advantages but some disadvantages in wound healing related to heat damage. Keywords: cutaneous wart, electrosurgery, HPV.

Epitelioma cuniculatum: a propósito de un caso

RESUMENEl término carcinoma verrugoso (epitelioma cuniculatum [EC]) se atribuye a Ackerman, y corresponde a una de las tres formas inusuales de carcinoma espinocelular o de células escamosas, el cual se caracteriza por ser una neoformación bien diferenciada, de bajo grado de malignidad y con poco potencial metastásico. Las otras dos formas corresponden al tumor de Buschke-Löwenstein y en la cavidad oral, al tumor de Ackerman. Se presenta el caso de un hombre de 61 años de edad con una neoformación exofítica de aspecto verrugoso en planta del pie derecho, de 20 años de evolución, la cual fue traumatizada durante ese tiempo, de manera constante y repetitiva mediante medios mecánicos y químicos.Palabras Clave: Epitelioma Cuniculatum, Carcinoma Verrugoso plantar, Carcinoma Espinocelular. ABSTRACTThe Epithelioma Cuniculatum (EC), is one of three rare forms of low grade squamous cells carcinoma, where the topography in which it is presented is the foot, which is characterized for being a well differentiated carcinoma, it has a slow growth and a low metastasis potential. We present a 61 year old man with an exophytic lesion with a warty appearance on right foot sole, 20 years of evolution, which during that time was diagnosed as a plantar wart and it was treated and traumatized with mechanical and chemical means with de purpose of eliminate it, without success. Key Words: Cuniculatum Epithelioma, Verrucous Plantar Carcinoma, Squamous Cells Carcinoma.