Summary
- Lesion caused by infection with HPV 1,2,4 or 63
- Usually on the sole but lesions can develop interdigitally and sub-ungually
- Irregular papillomatous lesions develop which may be complicated by associated hyperkeratosis
Diagnostic tips
- More painful on lateral (squeezing) than direct pressure
- Haemorrhagic spots may be present in the lesion
- Normal skin striations are interrupted
- Can also be passed on within families.
- May be present on non-weightbearing areas of the sole
Tests and Imaging
- Diagnosis is usually by clinical examination
- Biopsy may exclude malignancy
Immediate Treatment
- Debridement of hyperkeratosis will relieve pain
- Topical keratolytic can help
- Laser, Cryotherapy, electrosurgery, curettage are effective
- Dietary supplements with VitC and Zinc may be effective
Possible Referral
- Podiatry for expert debridement
- Podiatry for treatment which may include keratolytics, cryotherapy curettage or Laser
- Dermatologist for large lesions or immune-compromised patients.
