Dry warts on arms and legs

Perhaps, everyone heard about such a benign formation as a dry wart. But here is what causes its appearance, and how to stop the growth and spread of growth, few people know.

A dry wart is a hyperplasticized area of epidermal tissue. Hyperplasia in itself can be the result of the vital activity of the virus (HPV), which is usually infected by direct contact with the patient. The risk of infection is especially high if a person has microtraumas on the skin, or if the general immune defense is weakened.

Epidemiology

According to statistics, no less than 80% of adults in the body have certain karyotropic DNA viral cells. True, the virus itself does not reveal itself to everyone: a person can live peacefully with HPV and not even know about it until the end of life. The fact is that a dry wart appears on the skin only when certain favorable conditions are created in the body - for example, a sharp drop in immunity, intensive changes in the level of hormones, an abundance of unhealthy habits, etc.

A dry wart can germinate both on the skin and on the mucous membranes. Its growth is often unpredictable: it is believed that to “drive” the virus out of the body is very, very difficult, almost impossible, but there are many cases where the wart disappeared by itself. Why is this happening, scientists are still not able to answer.

Both men and the fairer sex have the same chance of contracting the virus, so a dry wart can be found in any person - and in any age category, even in babies.

Most often, the growth appears on the limbs, especially on the hands and feet.

Causes of the dry warts

There is no single reason why dry warts occur. Of course, the main factor is the presence of the virus (HPV) - they become infected by direct contact with the patient, or by contact with his personal items, or even from a carrier person who does not have any signs of infection (even he himself does not know about its existence). HPV is the most common sexually transmitted infection (STI). 79 million Americans over the age of 20 are infected with HPV. [1]

The so-called "self-infection" is not excluded, for example, a dry wart can occur after cuts with a razor, after intensive peeling procedures.

Dry warts on the feet often appear as a result of abrasions of the skin with shoes, or against the background of other minor injuries. On the hands, growths often occur after frequent use of household chemicals, as well as with various microcracks received at the factory or during work, for example, in the garden.

Children are able to become infected with the papillomavirus by contacting other babies in the garden or at school, but often the infection is transmitted to the baby from his mother during pregnancy or during childbirth.

Risk factors

Dry warts do not appear in all people, even with the corresponding virus. It is estimated that up to 70% of sexually active women become infected with the human papillomavirus (HPV), which causes warts. [2]The following factors increase the risk of outgrowths:

• Violations of the integrity of the skin and mucous membranes: it can be scratches, cracks, sores, abrasions. The danger lies in the fact that the papillomavirus can persist on surrounding objects for up to three hours, so it can easily get on the skin, and through damage, into the bloodstream of a person. The penetration of the virus becomes even more likely if the skin is wet, or vice versa, excessively dry and sensitive, weathered.
• High humidity combined with increased air temperature: for example, with regular use of closed, non-dried shoes, especially those made of artificial materials, dry warts and corns can occur on the feet. The tendency to excessive sweating worsens the situation.
• Weak immune defense: with an initially weak immune system, the virus gains additional opportunities for reproduction and spread. Immune defense weakens under the influence of poor nutrition, an unhealthy lifestyle, hormonal changes, a systematic lack of rest, and other infectious and inflammatory processes in the body.

Pathogenesis

The basic growth factor for dry warts is the HPV virus. The virus affects not only the skin, but also the mucous membranes in the mouth, nose, and genitourinary system. The virus belongs to the A-subgroup of the Papovaviridae family. Scientifically proven the existence of more than seven dozen varieties of papillomavirus.

Infection is possible only in a contact way: when shaking hands, sharing some things, clothes, toys.

When an infection gets on the skin, its active reproduction begins, if certain favorable conditions accompany this.

Self-infection is also not uncommon. For example, you can get infected with cuts with a razor, with intensive peeling procedures, with a habit of biting your nails, etc. The risk group includes people who regularly visit public baths and pools, gyms, as well as those who work in meat processing plants, poultry farms, etc.

The minimum incubation period for HPV can be from six to twenty weeks. However, as we have already said, the disease does not always appear outwardly, but proceeds secretly, asymptomatically. If dry warts still appear, then they are found mainly on the limbs, less often - on the face, neck, shoulders.

Symptoms of the dry warts

Dry wart looks like a dense and dry elevation above the surface of the skin. The size of the growth is different, but usually does not exceed 4-8 mm. The most frequent localization of dry warts is hands, feet (more often fingers, palms and feet), face. The color gamut of neoplasms is also different - from grayish-dirty to brown-yellow or dull-bodily.

The first signs of the formation of a wart also have their own characteristics. When the virus is activated, small papillary structures form on the skin. A layer of the epidermis in the affected area begins to keratinize. A warty growth is formed from the papillae, a small network of blood vessels develops. With necrosis of some papillary structures, a dry rough surface is formed - this is a dry wart. Outwardly, it may have much in common with corn, but inside there are rods with dark or reddish dots - roots.

After some time, the layer of skin over the papillae lags behind, the roots are exposed. Further, the wart continues its growth, and multiple growths located next to each other are able to merge. If such neoplasms reach large sizes, then they can cause discomfort, pain, or even bleed periodically.

• A dry wart on the leg and arms is considered the most common neoplasm. It can be superficial or deep: the last option is usually accompanied by pain and has a small dry fossa in the middle of the cavity. Superficial growth is characterized by hyperkeratosis. Dry warts in the foot area cause particular discomfort, as it becomes unpleasant for the patient to step on the affected limb. Since a wart of such localization is often mistaken for ordinary callus, people seek medical help only in advanced cases, with large sizes of the neoplasm.
• Dry warts on the body are less common than on the arms and legs. However, their appearance is possible in the neck, armpits, chest and upper back. Especially often, the problem occurs in people prone to excessive sweating. Warts are usually uneven, hemispherical, with a yellowish or pinkish tinge. The consistency of growths ranges from elastic-soft to dense, dry. Sizes also vary - from a couple of millimeters to 3 centimeters.
• A dry wart on the face is more often found in adolescence. Such a neoplasm is predominantly small and has a smooth (less often - rough) surface. The color of the growth can merge with the shade of the skin, so in many cases the facial wart does not particularly attract the attention of the owner. Patients are referred to doctors more often with a multiple spread of the problem.

Complications and consequences

The most likely complications of a dry wart include the following:

• discomfort, itching and pain in the area of the growth;
• frequent damage to the protruding wart, associated with this bleeding, increased growth of the neoplasm;
• secondary infection, the entry of microbes or fungal infection into the wound;
• expansion of the lesion, the spread of warts throughout the limb and / or body;
• malignant transformation, malignancy of the wart.

Almost all of these complications occur with advanced forms of pathological formations. Therefore, it is better not to wait for the appearance of trouble, but to begin to treat a dry wart at an early stage of development.

Diagnostics of the dry warts

Before sending the patient to remove a dry wart, the doctor will definitely carry out the necessary diagnostic measures, as sometimes it can be difficult to distinguish a wart from other neoplasms.

If the doctor has even the smallest doubts about the origin of the growth, he will prescribe the necessary studies and analyzes:

• Scraping wart tissue is used infrequently, but only in case of bleeding, ulceration of the growth. The essence of the procedure is as follows: with the help of a medical instrument, wart cells are “scraped” from the surface, transferred to a glass slide, and then sent for laboratory microscopic examination.
• A biopsy is a collection of biological material with further histological analysis. Cells and tissues of the wart are selected with a needle or scalpel. The study allows you to evaluate the cellular composition of the material and exclude cancer.
• The polymerase chain reaction method is used to find out if the papilloma virus is present in the body. It is not necessary to take material for research directly from the wart: it can be blood, salivary secretion, etc. This method allows you to detect even the latent existence of the virus in the body.
• Restriction endonucleosis DNA analysis, enzyme immunoassay, Digene test.
• Genetic amplification methods combined with genotyping can determine specific types of HPV. However, knowledge of the HPV genotype in benign warts does not affect the choice of therapy. [3]

Differential diagnosis

Differential diagnosis is mandatory, since it is important for the doctor to exclude other possible pathologies that are similar in manifestations to a dry wart.

What is the difference between dry corn and warts? What else is needed to differentiate a dry wart?

Dry wart	It has a dry, dense surface on which you can find subtle dark points - these are capillaries that feed the neoplasm. A dry wart can cause not only discomfort: it can be quite painful, especially if it is located on the foot or palm. The wart is characterized by constant growth - both external and deep into the tissues.
Dry corn	It has a dense surface with a pronounced papillary pattern. Dark points - capillaries - are absent. If you squeeze the corn from the transverse sides, then the pain will not be detected, however, pressure from above can be quite painful. As a rule, dry corn does not appear in a random place, but where there is a constant or regular load, friction, pressure.
Molluscum contagiosum	The growths are skin formations with a diameter of one to eight millimeters. Found mainly on the feet and genitals. Outwardly, the growth has much in common with the wart, but it has a kind of “crater” in the center, from which a curd-like fluid is released.
Foreign body in the skin, splinter	The appearance of a foreign body in the skin is characterized by an acute onset, squeezing the formation in any direction causes pain. With the development of inflammation, the damaged area swells, turns red, pus or sucrose fluid is detected.

Treatment of the dry warts

There is currently no cure for HPV infection, and therapy does not affect transmission. [4]Thus, modern therapy is aimed at eliminating signs and symptoms. No treatment is completely effective. 

In 1995, the American Academy of Dermatology developed criteria for indications for the treatment of warts [5], including: 

1. patient's desire for therapy, 
2. symptoms of pain, bleeding, itching or burning, 
3. disabling or disfiguring lesions, 
4. a large number or large sizes of lesions, 
5. the patient’s desire to prevent the spread of warts on unaffected skin, and 
6. immunocompromised condition. 

Treating a dry wart primarily involves removing it. This is made possible due to the mass of surgical and medication.

However, the answer to the question of how to remove a dry wart, in each case, is given by the doctor. It is up to him to decide which method is suitable for this or that patient - will it be surgical or chemical removal, or the optimal use of other existing methods.

Any remedies for dry warts are used in combination - for example, a growth is cauterized at the same time and keratolytics are used. Often, treatment is carried out with Solcoderm, Condilin, solutions of lactic acid or silver nitrate.

To get rid of a viral infection, the doctor may prescribe oxolin ointment, bromonaphthoquinone, etc.

You can quickly remove the growth using liquid nitrogen, electrocoagulation, or by chemical means - Ferezol, acids (salicylic or trichloroacetic, etc.).

To strengthen the immune system, immunostimulants and vitamin complexes are prescribed, and after the removal procedure anti-inflammatory therapy is relevant.

Dry Wart Remedies

Solcoderm	An acid-containing solution that causes necrosis and mummification of wart tissue. The drug acts only in the area of application. After treatment, the wart darkens, a scab forms, which disappears for several days or weeks (depending on the size and depth of the growth).
Condilin	The drug podophyllotoxin has cytostatic and antimitotic properties. The solution is applied to the wart in the morning and evening for three days. If necessary, after 4 days the treatment is repeated. Possible side effects: redness and soreness in the area of application.
Silver Nitrate 10%	The drug has a bactericidal and cauterizing effect, it is used to apply directly to the wart area, avoiding adjacent healthy tissues. Side effects - slight discomfort at the place of application of the product.
Oxolinic Ointment	An external drug with antiviral activity. The ointment is applied to the wart three times a day for several days or weeks, until the size of the growth is permanently reduced. The drug is suitable for use in patients of different age categories and has virtually no contraindications and side effects.
Ferezol	Cauterizing and bactericidal preparation based on phenol and tricresol. The product is applied clearly to a dry wart. Reprocessing is possible a week after the scab exfoliation. It is permissible to carry out up to five procedures. A side effect is a burning sensation in the area of application.

Glutaraldehyde is virucidal and is available as a 10% water miscible gel or alcohol solution. Glutaraldehyde is usually applied twice a day and can stain the skin brown and also cause contact sensitivity. 1 It has been reported that treatment is as effective as salicylic acid with treatment efficacy rates of over 70%. Randomized controlled trials for the treatment of warts with glutaraldehyde have not been published.[6]

Formaldehyde is also virucidal and acts by destroying the upper layer of epidermal cells and possibly damaging the virions. Available 0.7% gels or 3% solutions are used to soak trimmed plantar warts to speed up resolution. Formaldehyde, widely used as a preservative in many products, such as lotions and shampoos, can cause sensitization and should be avoided in patients with eczema and allergies. 

In a controlled trial of treatment with formaldehyde warts, 192 patients with plantar warts participated. The cure rate ranged from 61% to 67% for 2 months, but did not significantly differ between the four treatment groups: 3% formalin, 3% formalin, water (placebo) and sucrose (placebo). 

Formic acid is a chemical irritant found in the bites and bites of many Hymenoptera insects, including bees and ants, and was first isolated from red ants, hence the name from the Latin "ant", formica. In a non-randomized, placebo-controlled, open-label study in 100 patients, the puncture technique of the 85% topical ant / needle resulted in a total clearance of 92% compared to 6% in the placebo (water) group. [7]The mechanism of action of this agent is not known. 

Bleomycin, an antibiotic derived from Streptomyces verticillus. It selectively affects squamous and reticuloendothelial tissues. [8]Five randomized controlled trials evaluated the efficacy of bleomycin; [9]however, it is difficult to compare the trials. The treatment efficacy ranged from 16% to 94%. 

Nutritional zinc has a profound effect on the human immune system, and deficiency leads to a decrease in immune ability. [10]Based on this, a placebo-controlled clinical trial was undertaken using oral zinc sulfate (10 mg / kg per day) for the treatment of recalcitrant warts. Full clearance was observed in 87% of patients in the treatment group compared with the lack of clearance in the placebo group.[11]

Fluorouracil has been used topically as an antiproliferative in warts. [12]In one prospective, placebo-controlled, single-blind, randomized trial, up to 70% of warts regressed with 5-FU in combination with lidocaine to reduce pain and adrenaline to induce vasoconstriction to maintain a high local drug concentration.[13]

Daily doses of 20 to 40 mg / kg of cimetidine, an H2 receptor antagonist, cleanse the skin of 82% of warts in open studies. [14]Cimetidine is believed to act as an immunomodulator in high doses, inhibiting the function of suppressor T cells, while increasing lymphocyte proliferation, thereby enhancing cellular immune responses.[15]

Imiquimod 5% cream is an immunomodulator that can stimulate cytokines, including interferon-α, interleukin-1, interleukin-6, tumor necrosis factor-α, colony-stimulating factor granulocytes-macrophages and colony-stimulating factor granulocytes. The absorption of imiquimod through intact skin is minimal. Its use in the treatment of external anogenital warts was approved by the US Federal Drug Administration in 1997, and has recently been approved for the treatment of non-hyperkeratotic, non-hypertrophic actin keratoses and superficial basal cell carcinomas.

The use of imiquimod for the treatment of non-genital warts has not been formally evaluated in a randomized controlled trial. However, in an open, uncontrolled study using 5% Imiquimod cream for the treatment of common skin warts, patients applied 5% Imiquimod cream to warts once a day for five days a week and washed it off with soap and water in the morning. [16] Patients continued this treatment for 16 weeks or until the warts completely disappeared. Complete cleansing of warts occurred in 30% of patients; in 26% of patients, the size of the warts decreased by> 50%. 

Antiviral drugs

Cidofovir is a nucleoside analogue of deoxycytidine monophosphate, which inhibits DNA synthesis, causes DNA fragmentation, reduces epithelization and enhances excoriation. [17]It has been successfully used in HIV-positive patients for topical treatment of genital warts.[18]

Dry callus patch

The most common patch for dry corns and warts is considered to be Salipod. This is a well-known product, the basis of which is represented by salicylic acid, precipitated with sulfur, rubber, lanolin, rosin, etc.

It is easy to apply such a patch: a piece of the appropriate size is cut out and fixed on a previously steamed and dried wart. The patch is worn without taking off for two days. If after removal the wart remained in place, then the procedure is repeated. Usually after the second or fourth time, the wart exfoliates and separates.

We remind you that removing warts yourself is dangerous. You must first consult a doctor.

Salicylic acid is a first-line therapy that many patients choose because it is available over the counter. This is a keratolytic therapy with a mechanism of action that slowly destroys the virus-infected epidermis and can cause an immune response from a mild irritation caused by salicylic acid.

Vitamins

Even against the background of the presence of the papilloma virus in the body, you can prevent the appearance of warts if you maintain your immunity at the proper level. And the first thing that is necessary for this is the full intake of vitamins in the body.

What vitamins are most needed to prevent the spread of warts?

• Vitamin A is the best aid to the immune system in the fight against warts. Retinoids are also powerful immunomodulators. [19]There is some evidence that retinoids can suppress HPV transcription in affected cells. [20]Retinoids can be administered topically or systemically. It strengthens and enhances the body's response to the introduction and activation of papillomavirus. Vitamin A is present in sufficient amounts in carrots, bell peppers, grapes, parsley, and pumpkin. 
• Vitamin E is always prescribed to solve various dermatological problems. Sufficient volumes can be obtained by eating seeds, nuts and vegetable oils. In addition, some experts advise treating dry warts directly with an oil solution of vitamin E: the solution should be applied three times a day for 2-3 weeks. Presumably, after such treatment, the growths should disappear on their own.
• Ascorbic acid is a well-known vitamin that has antimicrobial, immunostimulating, anti-inflammatory properties. A lot of vitamin C is present in kiwi, citrus, broccoli, bell pepper. These products should be included in the diet systematically, or take a vitamin in the pharmacy version.

Additional enrichment of the body with vitamins increases the patient's chances of getting rid of dry warts completely. And as a “bonus" you can get strengthened immunity, improving the condition of the skin, hair and nails.

Physiotherapeutic treatment

In addition to surgical methods, you can remove a dry wart with physiotherapy, for example, such:

• Medicinal electrophoresis with zinc has a keratolytic effect. For the procedure, use 1-2% chloride or zinc sulfate. During the session, there are some pain associated with cauterizing properties of zinc.
• Ultrasound treatment has much in common with radio wave therapy, just high-frequency sound is used instead of radio waves. A dry wart is destroyed, without causing unpleasant pain.
• Alkaline baths are a great way to get rid of warts, especially if the growths are located on the body and in large quantities. Procedures are carried out daily or every other day, for 3-4 weeks. With single warts, local baths are allowed.
• It was reported that simple sequential treatment by immersion in hot water (from 45 to 48 ° C) significantly reduced the number of skin warts on the arms and legs. [21]

Physiotherapeutic treatment is prescribed by the doctor after carrying out diagnostic measures: it is important to make sure that the warts are not of malignant origin, and the patient has no contraindications to such therapy.

Alternative treatment

Many patients manage to permanently recover from warts using alternative methods. Perhaps alternative recipes will not immediately eliminate the dry wart, but with systematic use, many methods demonstrate a fairly good result. Of course, you should first consult your doctor.

• They take an apple, divide it into two parts with a thread. Warts are rubbed with parts of the fruit, the apple is folded back and rewound with the same thread, buried deep in the ground. It is believed that as the apple rots, warts will disappear.
• Take a piece of dry ice, wrap it in a gauze and apply to the wart. Hold on it as much as you can endure. The growth should disappear after a few procedures.
• The garlic clove is cut into two parts, used to rub a dry wart 2-3 times a day (always before bedtime). 

The components of garlic (Allium sativum) have been shown to have antiviral activity and inhibit cell proliferation of virus-infected cells. [22]In one placebo-controlled study, the use of chloroform extracts of garlic led to the complete disappearance of skin warts without relapse after 3-4 months. [23]

• Prepare garlic ointment. Chop the garlic into gruel, 1 tsp. This slurry is mixed with the same amount of melted fat and 4 tsp. Natural apple cider vinegar. The mass is applied to the wart before bedtime, glued with a band-aid. The procedures are repeated daily until the growth has fallen off.
• Make a compress of grated unpeeled potatoes, daily, at bedtime, for several weeks.

Herbal treatment

The most common plant that can save a person from a dry wart is celandine. Its juice has an excellent cleansing effect. If you treat the growth with the yellow juice of the plant twice a day, then after a while the wart will disappear on its own. The duration of treatment depends on the size and depth of the growth of the growth, therefore, it can be from one week to 1-1.5 months.

Another effective plant is wormwood. Three tablespoons of dry chopped wormwood pour 500 ml of boiling water, insist in a thermos for two hours. Used for staging compresses, which are repeated every day until the wart falls off.

In addition to the above methods, treatment with aloe is also successfully used. First dissolve 1 tsp. Baking soda in 200 ml of warm water. The solution is moistened with a small piece of cotton wool and applied to a dry wart for 20 minutes. Next, the fleece is removed, and a small cut of the aloe leaf is applied to the growth (the place of cut on the wart), fixed with a plaster. The treatment is repeated daily until the neoplasm disappears.

Homeopathy

Dry warts are successfully cured by homeopathic remedies. In homeopathy, such neoplasms are considered a sign of impaired immune function, so the effect of the drugs is directed to the correction of immunity. As a result of such treatment, the body independently gets rid of pathological growths, and without side effects and the risk of overdose.

The following homeopathic remedies are recognized as the most effective and reliable:

• Antimonium crudum - this tool successfully fights with various seals and hyperkeratosis. Potencies of 5 to 15 CH are used, 5 globules twice a day.
• Nitricum Acidum can supplement the treatment of the above drug if the dry wart begins to bleed, becomes covered with cracks, and is accompanied by unpleasant stitching sensations. Apply 1 tube of a single dose, potency of 7 or 9 CH daily.
• Causticum is prescribed for periungual and facial warts, in a potency of 7 CH 1-2 times a day.
• Dulcamara helps get rid of carpal warts, as well as growths that occur in patients prone to obesity and excessive sweating. The use of 5 globules is shown, a potency of 5 or 7 CH twice a day.

When using alternative methods of treatment, it is important to remember that many warts disappear spontaneously, regardless of the treatment or its absence. [24]

Surgery

Any surgeon will offer his patient several ways to remove a dry wart. We are talking about such procedures:

• The electrocoagulation method is suitable for getting rid of various types of warts. The procedure is performed under local anesthesia using a special coagulator. Using a high-frequency current and a metal loop tool, the doctor gently cuts the growth, while coagulating the vessels, which helps to avoid bleeding. After cutting the wart, a dense crust forms on the skin: it disappears after about a week. The trace after removal is not very pronounced, which, however, depends on the depth of germination of the wart. Using electrocoagulation followed by application of cidofovir gel, clearance was 100% with a relapse of 27%. [25]
• Surgical excision is practiced when removing large and deep warts. In fact, this is an ordinary mini-operation, using local anesthesia. The surgeon excises the wart with a scalpel with further suturing (they are removed after about 7-8 days). A wart removed in this way is usually sent for histological analysis.
• Laser removal is the use of a laser beam that promotes the evaporation and coagulation of epithelial cells. During the procedure, local anesthesia is used, and the removal itself is quick and painless. Suturing is not required: after the manipulation, a slight light dent remains on the skin, which is smoothed and acquires a natural color after 2-3 weeks. No randomized controlled trials of CO2 laser efficacy have been published.
• The cryodestruction method involves deep freezing of the wart with liquid nitrogen. The most commonly used cryogen is liquid nitrogen with a temperature of -196 ° C. The effect of the procedure can not be noticed immediately: the wart turns into a crust about a week after exposure, and disappears after another two weeks. In order for the removal to go without complications, it is important to strictly follow all the recommendations given by your doctor. [26] Aggressive cryotherapy (10 seconds) is significantly more effective (cure rate 52%) than mild cryotherapy (short-term freezing) (cure rate 31%).
• Infrared coagulation. The direct use of infrared contact coagulators has been reported to be a cheaper, safer and more convenient alternative to CO2 laser treatment. The tool allows you to adjust tissue necrosis without adhesion to the tissue and gives remissions with a relapse rate of 10.8%. [27]Compared to electrocoagulation, infrared coagulation gives similar results.[28]
• Photodynamic therapy. Instead of using endogenous target absorbers (i.e. Water for a CO2 laser and oxyhemoglobin for a pulsed dye laser with a wavelength of 585 nm), light with a wavelength absorbed by specific photosensitizing molecules that are exogenously injected into the target tissue is used in photodynamic therapy. [29]One of the commonly used agents is 5-aminolevulinic acid (ALA), which is a prodrug that stimulates the accumulation of porphyrin in the tissue. [30]Porphyrins then act as a photosensitizing agent. When illuminated, porphyrins induce a photo-oxidation cascade that damages the cells involved. ALK is applied topically as an ointment or cream and mainly accumulates in the lesion foci. 

Prevention

You can reduce the likelihood of dry warts in the following ways:

• take care of your health, lead a healthy lifestyle;
• strengthen immunity, eat right, temper, be physically active, avoid stressful situations;
• get rid of unhealthy habits, fully relax and recover;
• observe hygiene rules, avoid using other people's things;
• in places such as public baths and swimming pools, you should always have with you removable shoes, towels, napkins, etc.;
• Any cuts, abrasions on the skin should always be treated with disinfectants - for example, alcohol-containing lotions, chlorhexidine, etc.

You should carefully consider the selection of shoes and clothes. It is optimal to choose models from natural materials, in accordance with size and seasonality.

Any skin problems must be treated by a doctor: self-medication can turn into negative consequences.

Forecast

When examining the effectiveness of treatment, it is necessary to take into account spontaneous regression of warts. A dry wart in some cases can disappear on its own, without any external intervention. However, the wait for self-healing can be delayed for a long time, so in most cases, doctors advise to remove such growths. The prognosis is usually favorable, a relapse of dry warts may occur in about 20%: as a rule, this is due to the presence of papillomavirus in the body and the weakness of its own immune defense.