Warts
The doctor’s explanation on warts:
Warts are benign lesions of the skin and of mucous which can appear in any place of the body. These common lesions, whose incidence has been estimated at 10% with children and of young adults, are provoked by infections by the human papillome virus.
The transmission of this virus is typically produced following some micro traumatisms (warts on the hand) or a contact with the surfaces or the infected zones (for example in public pools for plantaire warts).
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| Before treatment | After treatment |
One can act on plantaire warts:
- Deep and painful lesions are contained at the side hyperkeratosic.
- Lesions in a mosaic form which are superficial and painless
One can act on ordinary warts:
- Hard papules, rough with an irregular surface. Typically localised on the face, the hands, the neck, painless.
- Peri warts or underThe treatment can be local and surgery is based on the physical destruction of the keratinocytes.
The treatment of warts:
- Cryotherapy (liquid azote) or dry ice.
The permanent objective is to detatch the wart from the skin; a simple procedure, rapid, but very painful.
- Salicilic acid preparations. Utilised in diverse concentrations; painless procedure but very painstaking.
- Bleomycine intra lesional. Rarely employed.
- Electrosurgery. Rapid and effective, but painful. Considerable risk of lesion scarring.
- Removal by CO2 laser. Generally utilised for persistent warts; a painful and difficult procedure.
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| Before treatment | After one session | After two sessions no repetitions |
The colouring pulse laser:
It can represent an effective alternative to standard methods.
The exact mechanism of the colouring laser in the treatment of warts is based on the intense reheating of the vessels of the skin with the important indirect destruction of the infected keratinocytes. The oxyhaemoglobin continues in the dilated blood vessels and congestions at the base of the warts are targetted by the colouring pulse laser. The action is affected by selective photo-thermolyse and by photo-coagulation.
On the whole, the treatment of warts remains difficult. If the spontaneous disappearance of the lesions at the end of a prolonged period is frequent, the persistence of a single wart and the rapid proliferation of numerous warts remains a current therapeutic challenge. There does not exist an actual time of treatment applicable to all warts and it is consequently necessary to adapt the treatment according to the localisation of the lesion and the patient.
The long term after-care stays indispensable to determine the level of potential offenders, the therapeutic results and the heightened level of acceptance the patient gives to the colouring pulse laser.
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