Removal of warts in children in Moscow is successfully carried out by pediatric dermatologists at the Family Doctor clinic. Such procedures require a special approach, since a small patient may be afraid of manipulation and may find it difficult to sit still. Therefore, it is very important to choose a method that will allow you to remove the formation without pain and quickly enough.
The indication for removal of such a skin formation is its presence, especially in those areas that are subject to constant injury. In addition, it can cause psychological discomfort to an older child.
Removal of warts in children in Moscow
Specialists at the Miracle Doctor clinic can offer you proven methods for removing warts that are well tolerated by children of different ages.
Cryotherapy (freezing with liquid nitrogen)
Cryotherapy is safe when performed by a qualified professional. The area usually does not need numbing. The short-term effect of liquid nitrogen can damage and destroy wart tissue. Healing of the treatment site occurs on average within a week. Cryotherapy is often used to remove plantar warts in children, filiform warts, and warts under the nails.
Radio wave method for removing warts (Surgitron device)
Radio wave removal in the clinic is carried out using a modern Surgitron device, created to remove different types of skin tumors. Having previously anesthetized the removal site, using sterile tips, the doctor uses a radio wave to excise the wart tissue at the required depth, without affecting healthy tissue. All types of warts are removed using the radio wave method.
Causes of viral warts
The human papillomavirus affects the skin and mucous membranes. The most common manifestation of HPV infection is warts. There are more than 150 identified subtypes of the virus, some of which tend to infect specific areas of the body. HPV type 1 primarily affects the feet and soles and causes plantar warts, while types 6 and 11 infect the anogenital area and are responsible for the appearance of anogenital warts (genital warts).
Infection with warts occurs through direct contact with infected skin, and the possibility of infection through contaminated objects has also been suggested. Predisposing factors to the development of the disease are a violation of the barrier function of the skin (microtraumas, abrasions, hangnails, maceration), skin diseases (for example, atopic dermatitis), as well as conditions associated with depressed cellular immunity (for example, AIDS, organ transplantation).
Wart removal
If parents rule out severe chronic diseases in the child, as well as inflammation at the site of the planned removal, which are contraindications for the procedure, no special preparation is required. Removal can be done right on the day of your appointment with a dermatologist.
The methods used in the clinic are bloodless and minimally invasive. Infection of the wound during the procedure is excluded, since during cryotherapy the integrity of the skin tissue is preserved, and with the radio wave method, sterile attachments are used.
To prevent the wound from becoming infected in the future, it is extremely important to follow the recommendations of your doctor:
- do not touch the wound with your hands and do not allow friction with clothing;
- do not wet, do not apply cosmetics or other chemical irritants;
- treat the skin with an antiseptic;
- When healing after the formation of a dry crust, do not soak it or tear it off.
Whatever type of treatment is chosen, it should be remembered that removing warts is only getting rid of the external manifestations of the presence of the papilloma virus in the body. Therefore, warts can always return.
Prevention
Parents often ask whether it is possible to prevent warts from appearing on their children's hands. From the article it becomes clear that there is a set of preventive measures that reduce the activity of the papilloma virus to zero. Knowing the causes of infection, you need from an early age:
- instill hygiene skills;
- wean off the habit of biting your nails and picking off hangnails;
- carry out activities aimed at strengthening the immune system. Hardening, walking in the fresh air, and taking multivitamins are suitable.
Remember, warts are contagious. If a disease is detected, you should immediately contact a dermatologist.
https://dermatologiya.su/virusnye/vpch/borodavka-u-rebenka-na-paltse
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Do plantar warts need to be removed? Could they be dangerous?
Most often, plantar warts do not hurt and do not interfere in any way; they go away on their own after 1–2 years. It is not necessary to remove them, but if you don’t want to wait for them to go away on their own, you can treat them with salicylic acid. In some cases, a visit to the doctor becomes mandatory:
- If plantar warts are large, painful, and interfere with walking.
- You tried to treat the wart with home remedies, but it did not go away or soon returned.
- The neoplasm began to look suspicious, its appearance and color changed.
- You are sick with diabetes, your blood circulation in the vessels of your legs is impaired. In this case, the wart should be treated only under the supervision of a doctor.
- Your immune system is severely weakened.
- Some strange formation has appeared on the skin of your foot, and you are not sure that it is even a wart. The doctor may order a biopsy.
What complications can plantar warts lead to? If they are very painful, they change your gait - you may not even notice it. As a result, the load on the feet, muscles and joints of the legs will be distributed incorrectly. This threatens some problems with the musculoskeletal system.
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In what cases is the procedure necessary?
Warts in young patients are not removed in all cases. For many children, they go away on their own as they grow older.
The laser procedure is indicated when the shade, size and configuration of the tumor changes, its location in the area of constant friction, if the growth is located on the face or in the genital area.
Warts should be leveled by applying mechanical pressure to them, if they begin to bleed or bother you with other secretions. In such cases, the likelihood of growths increasing in size increases.
Causing aesthetic or physical discomfort is also a reason for removal. But doctors often do not advise removing growths that do not bother the child in any way. Also read how to trim a plantar wart in a child, symptoms and treatment.
This recommendation is explained by the high probability of relapses and the growth of warts. To prevent the development of cancer in these formations, which pose a potential threat, after destruction, partial tissue sampling is performed for analysis for tumor markers.
REMOVAL of benign neoplasms with liquid nitrogen (cryodestruction)
Removing tumors with liquid nitrogen is a time-tested, effective treatment method. Liquid nitrogen is a chemical liquid with a temperature of -196 degrees, used to remove any neoplasm (warts, papillomas, moles, tumors). Removal with liquid nitrogen is almost painless, so there is no need to apply anesthesia for each tumor. After cryodestruction (removal with liquid nitrogen), the skin can be washed with detergents almost immediately; there is no need to bandage or seal with adhesive tape. When removing using this method, the doctor presses a cotton swab soaked in liquid nitrogen onto the tumor. As a rule, the tumor that is removed becomes white, then it turns red and is rejected. Advantages
- No anesthesia required (no need to give an injection)
- The method can be used repeatedly on the same tumor
- No bleeding after removal
- Rarely leaves scars
- Good results for small pedunculated formations (papillomas)
Removal of neoplasms with liquid nitrogen
Removing tumors with liquid nitrogen is a time-tested, effective treatment method. Many patients often perceive tumors as cosmetic problems on the skin, rather than as a disease, and turn to a doctor late for help. Benign epithelial skin tumors differ in size, color, number, location, but they are more often of a viral nature or associated with self-medication. So, many patients bandage skin tumors with female or horse hair, trim them with nail scissors, etc. This does not solve the problem, but creates an environment for a secondary infection to occur. Injured tumors grow faster, disturb the owner, become wet, bleed, become crusty, and are painful. It's much easier to see a doctor!
Cryodestruction or removal with liquid nitrogen
Liquid nitrogen is a chemical liquid with a temperature of -196 degrees, used to remove any neoplasm (warts, papillomas, moles, tumors). Removal with liquid nitrogen is almost painless, so there is no need to apply anesthesia for each tumor.
After cryodestruction (removal with liquid nitrogen), the skin can be washed with detergents almost immediately; there is no need to bandage or seal with adhesive tape. Sometimes treatment with potassium permanganate is recommended during the first 3 days. By the 3rd–7th day, the neoplasms dry out after cryodestruction and turn into a crust. By the 10th–14th day, the crusts are rejected without scars, the color of the skin practically does not change. When removing using this method, the doctor presses a cotton swab soaked in liquid nitrogen onto the tumor. As a rule, the tumor that is removed becomes white, then it turns red and is rejected.
Advantages and Disadvantages of Liquid Nitrogen Removal
Advantages:
- No anesthesia required (no need to give an injection)
- The method can be used repeatedly on the same tumor
- No bleeding after removal
- Rarely leaves scars
- Good results for small pedunculated formations (papillomas)
Flaws:
- You cannot take a biopsy (microscopic analysis) of a remote lesion
- The need for repeated use of liquid nitrogen, especially for large tumors and located in areas with a thick layer of epidermis (on the palms and soles).
How is the operation performed?
Laser destruction is preceded by an examination; the child is prescribed a blood test. The procedure is performed only if there are no contraindications. A medical consultation prior to wart removal is required.
Only benign tumors are removed with laser.
Immediately before the procedure, the doctor administers an anesthetic.
Having applied anesthesia, the doctor puts on safety glasses and turns on the laser unit, treating the growth over the entire surface. The laser beams do not reach healthy areas.
If the growth is small, it is removed by simple contact with radiation.
Larger formations are eliminated with a special laser scalpel.
If necessary, the doctor can use two methods simultaneously during one session.
The growth and its components die under the influence of high temperature. The laser beam destroys the root of the wart, preventing its reoccurrence.
The duration of the procedure is approximately a quarter of an hour.
Cost of the procedure
Prices for laser removal of childhood warts vary slightly in different clinics. The cost depends on the type of equipment used, the number and size of growths.
- The cost of removing a single formation less than 1 cm in size is 700–3800 rubles .
- To remove growths on the face with a laser device, you will have to pay 1100–4000 rubles .
- Most clinics offer discounts for the elimination of multiple warts. The price starts from 700 rubles . a piece.
If a child develops warts, you should consult a doctor about the advisability of removing them with a laser.
Tests for genital warts: which ones should be taken?
Viral warts or the pathology of condylomatosis appear as an external manifestation of human papillomavirus infection, resemble pink or flesh-colored “papillae”, and affect the mucous membranes of the genital organs and the anus.
In medical practice, condylomas are divided into two types: wide - when they grow, they resemble a mushroom with a large stalk (base). Usually these formations indicate a secondary period of syphilis.
Genital warts indicate high activity of HPV (human papillomavirus) in the body. In the vast majority of cases, infection occurs as a result of unprotected sexual contact with a carrier.
So, it is necessary to consider what tests help confirm or refute the presence of papillomavirus in the human body? What to do if the tests are negative, but there are condylomas?
Diagnosis of men and women
If a woman suspects that an infection has occurred or neoplasms in the genital area are observed with the naked eye, it is recommended to consult a doctor for an accurate diagnosis. Since there are many types of human papillomavirus, some of them are highly oncogenic.
Initially, the doctor will ask about the present symptoms, if any, after which a gynecological examination is carried out, including a cytological smear. This test helps detect abnormal cervical cells. In addition, the test can determine the presence of HPV in women’s bodies if there are no visible pathological growths.
Women over 30 years of age may be recommended a screening test to detect the strain of the virus. This procedure is carried out in combination with a cytological smear. The test allows you to determine DNA, that is, the genetic information of a pathogenic virus.
Representatives of the fair sex under 30 years of age undergo this test only in situations where the smear results are atypical. If an atypical cervix is detected, which may indicate activation of the virus in the body, a certain course of therapy is recommended.
Men undergo a physical examination to look for genital warts. There are no screening studies for the stronger sex. However, many doctors argue that homosexuals who engage in anal sex should have an anal smear at least once a year.
A physical examination involves visually examining the reproductive organ and anus for the presence of genital warts. In a number of situations, a magnifying glass is used to detect abnormal soft tissue.
Indications for physical examination:
- Visible genital warts in men.
- Suspicion that an infection has occurred.
- The sexual partner has been diagnosed with HPV.
In the vast majority of clinical situations, physical examination appears to be the only test necessary to detect viral growths. In a number of situations, a special drug is used that changes the color of tumors to make them visible.
Sometimes a vinegar solution is used to help the naked eye notice the difference between normal, that is, healthy soft tissues and atypical ones. When applying the solution, a slight burning sensation and slight discomfort are felt.
Acetowhite staining is an additional diagnostic method but is not a recommended test for HPV.
Results of diagnostic measures
During diagnostic procedures, research results may be normal or atypical.
Normal results - no viral warts were detected. However, it should be remembered that the human papillomavirus may be present in the body, although there are no external signs of the pathological condition.
Pointed warts are observed on the genital organ, in the scrotum and anus in men. If these results occur, appropriate treatment is prescribed. When drawing up a treatment regimen, the following points are taken into account:
- Number, size and localization of pathological neoplasms.
- Symptoms caused by the resulting “papillae” (if they are injured, bleeding and pain may occur).
As a rule, if a doctor detects genital warts through a visual examination, the diagnosis is made without additional diagnostic measures.
If atypical tissue is detected against the background of the impossibility of making an accurate diagnosis, a small amount of material is removed for further research - a biopsy is performed in the laboratory.
Hidden course of pathology
Medical statistics show that many people are carriers of the human papillomavirus without knowing it. Since a pathogenic virus can remain in the body for a long period of time without indicating its presence in any way.
However, when certain favorable conditions are created, HPV activation is observed, as a result of which growths form on the skin. The virus is localized in the dermis and mucous membranes.
If the pathology is latent, then there are no neoplasms, negative symptoms and other characteristic signs are not observed. The following factors can trigger the activation of the disease:
- Decreased immune status.
- Sexually transmitted diseases.
- Pregnancy in women.
- Deficiency of vitamins and minerals.
- Severe stress, shock, etc.
HPV affects the skin at the cellular level, as a result of which the natural growth process is disrupted and growths form. In 20% of cases, self-elimination is noted, as a result of which pathology does not guarantee the presence of an active virus in the body.
It is possible that specific harmful factors led to a surge in pathogenic activity, after which a transformation into a latent course occurred again, so the HPV test is negative.
When a physical examination reveals genital warts, and tests show that there is no papillomavirus in the body, then most likely an error was made during the removal of biological material.
The resulting sample must contain a certain amount of DNA, and if it is not enough, the results will be negative.
Accordingly, you should take the tests again by contacting another medical institution.
Sexually transmitted diseases as causes of HPV
When condylomas are detected in a patient, and the tests show a negative result, then the reasons should be sought in the presence of sexually transmitted pathologies, which can also manifest themselves as growths on the skin and mucous membrane.
The list of sexually transmitted diseases transmitted during sexual intercourse includes syphilis and molluscum contagiosum - these diseases can manifest themselves as pathological neoplasms.
Therefore, when genital warts are detected, tests must include checking for other hidden infections.
Syphilis in the second stage of its course is characterized by the formation of “papillae,” which are located in the groin and thighs, between the buttocks, and around the anus. During a physical examination, it is almost impossible to distinguish between HPV and syphilis growths.
Therefore, if there are doubts about their nature, the doctor recommends being tested for syphilis. If the results are negative, a suspicion may arise of molluscum contagiosum, an infection characterized by the formation of “papillae.”
Molluscum contagiosum can occur against the background of rashes, both single and multiple. Warts are round in shape, quite dense on palpation, and flesh-colored or pink.
At first glance, these pathological formations are similar to genital and anal condylomas, and many doctors, without sufficient experience, make mistakes when diagnosing.
Advantages and disadvantages of the method
Many children develop warts by the age of five, since their bodies often have abrasions and lesions through which the virus easily penetrates into the blood.
The advantages of laser destruction include:
- removal of formations in one procedure;
- the ability to eliminate growths of various types (plantar, flat);
- speed (a session lasts about 10 minutes);
- painlessness;
- fast recovery.
After such a procedure there is almost no inflammation; it is performed using local anesthesia. There are no unsightly marks left on the skin in the form of scars.
There are practically no disadvantages to laser destruction. Side effects arise solely due to medical unprofessionalism and mistakes made in the process of skin care after removal of growths.
Incorrect settings of the device can lead to the fact that the formation is not completely removed, and the tissue may be burned too much.
An incompletely removed wart can activate HPV, provoke the growth of growths, and increase their number. Too intense exposure to laser beams burns healthy areas of the skin, resulting in scars.
Improper care of the skin that has been subjected to destruction can cause infection to enter the wound - this leads to suppuration.
It takes about a week and a half for the wound to completely heal.
The disadvantages of this method of removing warts include its cost.
Diagnostics
A dermatologist treats warts. The diagnosis is made based on visual examination and laboratory research methods:
- PCR diagnostics, which allows you to determine the type of HPV;
- histological analysis of a skin sample on which the tumor is localized.
Warts are differentiated from such skin diseases as:
- lichen planus;
- molluscum contagiosum;
- nevi;
- warty tuberculosis;
- other neoplasms of benign and malignant etiology.
Who is contraindicated for
It is possible to remove a plantar wart from a child in almost every case; the procedure has almost no strict contraindications. However, it is important to accept some limitations. Thus, in children under 4 years of age, in the absence of high risks of complications and severe discomfort, surgery may be postponed.
If you have recently undergone routine vaccination or suffered from an acute respiratory viral infection, your doctor will recommend waiting 10 to 14 days to avoid complications.
General contraindications for all intervention methods include the following:
- purulent diseases of the skin, subcutaneous tissue;
- bleeding disorders;
- taking anticoagulants, antiplatelet agents (temporary contraindication);
- high risks of keloid scar formation;
- exacerbation of chronic diseases;
- decompensated diabetes mellitus.
If the patient has time restrictions, the doctor will tell you when the surgery can be scheduled.
Contraindications for surgery
The list of contraindications to laser destruction is small. It is unacceptable to cauterize warts in children suffering from colds, high fever and diabetes. The list of contraindications also includes:
- malignant neoplasms;
- herpes;
- worsened chronic diseases.
For patients with fair skin, it is not advisable to remove warts in the summer - this is due to the increased sensitivity of the epidermis and the inadmissibility of direct exposure to the sun on the cauterized area. But this contraindication is relative.
