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Inflammatory changes in plantar verruca

Discussion in 'General Issues and Discussion Forum' started by NewsBot, Jul 24, 2010.

  1. NewsBot

    NewsBot The Admin that posts the news.


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    Anatomical detection of inflammatory changes associated with plantar warts by ultrasound.
    Wortsman X, Jemec GB, Sazunic I.
    Dermatology. 2010;220(3):213-7. Epub 2010 Feb 20.
  2. Mart

    Mart Well-Known Member

    This is too hot of press for my library, if anyone has copy and could email me a pdf I'd gladly buy them a pint.

    also below from same authors was retrospective study.

    I tried using US clinicially a couple of years ago to differentiate vascular but ambiguous non viral lesions from plantar warts but found the power doppler imaging appearance unhelpful because present in both. My assumption was that keratoma pesence had likley caused a mechanical inflamatory responce to deeper tissues and this seemed to be true. So diagnosticaly I am not sure how usefull this is other than to explore dimentions. Also I cannot see how US at this affordable frequency (12MHz) would be able to differentiate SCC which would also be high value clinically. Wortman et al didnt address these issues in their ealier paper and I am curious to see if this recent one did.



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    Wortsman, X., I. Sazunic, et al. (2009). "Sonography of plantar warts: Role in diagnosis and treatment." Journal of Ultrasound in Medicine 28(6): 787-793.
    Objective. The purpose of this presentation is to show the sonographic morphologic characteristics of plantar warts and the scope of sonography in the treatment of these lesions. Methods. We retrospectively reviewed 27 sonographic examinations of the plantar region; 17 corresponded to plantar warts diagnosed by dermatologists in which the diagnoses were medically derived from sonographic examinations after failure of their treatments. The remaining group consisted of 10 healthy individuals. Sonograms were compared with standard histologic findings. Results. The sonographic features of normal plantar skin and plantar warts are described, including the shape, echogenicity, pattern of growth, involvement of skin layers, and blood flow in the lesions. Conclusions. Sonography may be considered as reliable support for plantar wart diagnosis and may have a role in the evaluation of plantar wart treatment modalities, allowing monitoring of therapeutic responses, especially in recurrent and difficult cases with persistent symptoms such as pain. © 2009 by the American Institute of Ultrasound in Medicine.

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