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WARTS, PLANTAR

DESCRIPTION

Plantar warts appear on the soles of the feet. The skin of the plantar surface (bottom) of the foot is involved.
Appropriate health care includes:
  • Self-care after diagnosis.
  • Physician's monitoring of general condition and medications. Your doctor will probably treat your child by paring away the overlying calloused skin and applying chemical cauterants, such as trichloracetic acid, 20% salicylic acid, or 20% formalin.

    SIGNS & SYMPTOMS

  • A pinhead-sized bump that grows to 2mm or 3mm. Accidental scraping off the top reveals small black dots, pinpoint bleeding, and an underlying translucent core.
  • Pain when your child walks. The wart compresses underlying tender tissue.

    CAUSES
    Infection with the human papilloma virus, which passes from person to person by direct contact. The virus invades your child's skin, making infected cells reproduce faster than normal cells.

    RISK FACTORS
    Unknown.

    PREVENTING COMPLICATIONS OR RECURRENCE

    Instructions for your child:
  • Don't touch warts on other people.
  • Don't wear another person's shoes.
  • Wear footwear in public locker rooms or showers.

    BASIC INFORMATION

    MEDICAL TESTS

  • Your own observation of symptoms.
  • Medical history and physical exam by a doctor.

    POSSIBLE COMPLICATIONS

    None expected.

    PROBABLE OUTCOME
    Usually curable in 6 to 10 weeks with treatment, but some cases are resistant to treatment. Recurrence is common.

    TREATMENT

    HOME CARE

    Insert pads or cushions in your child's shoes to make walking more comfortable.

    MEDICATION

  • For minor discomfort, use non-prescription drugs such as acetaminophen.
  • Your doctor may prescribe a chemically treated plaster to apply to your child's foot. Follow instructions carefully.
  • See Medications section for information regarding medicines your doctor may prescribe.

    ACTIVITY
    No restrictions. Because walking aggravates the wart, your child should find the most comfortable way to walk without putting weight on the wart, such as walking on the heels.

    DIET & FLUIDS
    No special diet.

    OK TO GO TO SCHOOL?

    Yes.

    CALL YOUR DOCTOR IF

  • Your child has a plantar wart.
  • The treated area becomes infected, with redness, heat, increased pain, and tenderness. ‡
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