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Plantar wart in Child
Other Resources UpToDate PubMed

Plantar wart in Child

Contributors: Romi Bloom MD, Craig N. Burkhart MD, Dean Morrell MD, Susan Burgin MD
Other Resources UpToDate PubMed

Synopsis

Plantar warts are common, superficial skin growths caused by human papillomavirus (HPV) types 1, 2, and 4. Plantar warts are thick hyperkeratotic papules / plaques that often form on pressure points such as the ball of the foot and the heel, but they may occur anywhere on the sole. Plantar warts can be asymptomatic; however, they may become callused and painful with pressure or with walking. They are slightly more common in females, young children, and immunocompromised patients.

HPV types 1, 2, and 4 are ubiquitous in the environment. The virus is frequently transmitted from person to person through exposure on locker room floors, public showers, and pool areas.

Codes

ICD10CM:
B07.0 – Plantar wart

SNOMEDCT:
63440008 – Plantar wart

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

  • A Clavus, or corn, is a painful hyperkeratotic lesion with a central core that lacks pinpoint thrombosed capillaries and retains normal skin dermatoglyphics. Clavi occur in sites of pressure and repeated friction.
  • Foreign body granuloma, which may have a history of trauma or inoculation.
  • Acquired digital fibrokeratoma tends to have a smoother and more pedunculated appearance with a collarette of normal skin.
  • If the patient has recently traveled to a tropical area, consider Tungiasis (infestation with a burrowing flea into the sole of the foot). Look for a firm, white papule with a central black dot.

Best Tests

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Management Pearls

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Therapy

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References

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Last Reviewed:08/07/2018
Last Updated:08/07/2018
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Patient Information for Plantar wart in Child
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Plantar wart in Child
A medical illustration showing key findings of Plantar wart : Plantar foot
Clinical image of Plantar wart - imageId=53243. Click to open in gallery.  caption: 'A hyperkeratotic plaque on the sole.'
A hyperkeratotic plaque on the sole.
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