( For the texts and pictures books, publications, guidelines for example in awmf.org and contributions of colleagues were consulted.)

Verrucae

 Human papillomavirus (HPV ) infections

 What diseases evoke HPV infection ?

Approx. half of all HPV viruses elicit benign skin and mucosal warts. Only rarely a malignant transformation is observed.

The best-known caused by HPV virus lesions are common warts (verruca vulgaris) and plan warts. Besides the aforementioned, there are also types of warts of the mucous membranes and in the area around, such as the pointed warts (condylomata acuminata, genital warts) and isolated mucosal warts of the mouth, throat and gums.

Also a self- infection and spread of warts is possible. Warts are e.g. excoriated, new warts may occur in the area of the scratch track.

Verruca vulgaris ( vulgar warts)

wartsVerrucae vulgares warts are the most common form. They can occur on any part of the body, but are the extremities of fingers and backs of the hands and soles of the feet. Heaped one sees the appearance of warts in atopic dermatitis patients with very dry skin cool and moist. A transfer is mainly used in swimming pools and in shared changing rooms, as they are found in various sports facilities. Plantar warts are considered to be particularly contagious. The occurrence also depends greatly on the immune status of the individual patient. Thus, it can for example in congenital or acquired immunodeficiencies (eg after organ transplantation or HIV infection) lead to a spread of warts all over the body.

 

 

Condylomata acuminata (genital warts)

These types of warts are particularly prior to the genital and perianal and anal mucosa.

The transmission is usually through sexual partners.

In particular, when certain factors are given. These include moisture and a softened and broken skin surface.

Special attention must be paid to the condylomata plana (flat warts). These are often found in the cervix. These can be responsible for the origin of cervical cancer.

Treatment of HPV virus infection

First, conservative therapeutic measures are performed. This includes soaking the warts with example Guttaplast and subsequently the mechanical removal (eg pumice). Furthermore, a variety of different solutions, which are intended to kill a virus, the cell growth inhibition (eg Veramed, Verrumal) can be applied.

Not infrequently, a suggestive therapy is successful in children.

If these therapeutic measures are not enough, various surgical procedures can be applied. These are carried out under local anaesthesia. Cryotherapy ablation with electrodesiccation (an electro-therapeutic procedure) or surgically with scissors or scalpel, finally, a laser therapy to the affected area can be performed.

 What you can do supportive ?

People with cold hands and feet, a widening of the peripheral vessels should be done to increase blood circulation. This is done by an increase of circulation with vascular training with eg vasodilator topical medications, warm socks, gloves and appropriate footwear. Of great importance are the natural remedies, especially the Kneipp hydrotherapy with cold and warm casts, as well as warm hand and foot baths. In the area of the genitals ensure adequate hygiene. In the case of condylomata acuminata, prevent reinfection, so also the partner should seek treatment.

Multidisciplinary treatment :

Top condyloma that pull up into the urethra should be treated by the urologist. When infection of the vagina and the uterus is given, a gynecological presentation is required.

 

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