Warts : What Is It ? Natural Treatment, Nursing Management and Advice For Patient

Warts : What Is It ? Natural Treatment, Nursing Management and Advice For Patient

Warts (verrucae) are caused by human papilloma virus (HPV) and may be found any where on the skin.

Causative agent

Over 40 different subtypes of human papillomaviruses (HPV) have been identified by serological type of viral proteins

Incubation period

Average 2-18 months

Mode of transmission

-Genital warts are transmitted sexually
-Common warts are transmitted by contact with scratch and traumatized area of warts
-Genital warts may be transmitted to the new born through passage of birth canal.

Clinical manifestation

-Usually there is no symptom but lesions are usually mutiple , raised hyper keratatie lesion on exposed areas. Plane warts occur mostly on face and lesion is slightly raised plaque.
-Warts vary widely in shape, size and appearance
-Itching occurs with anogenital warts
-Occasionally a wart produce mechanical obstruction (e.g nostril, ear canal, urethra)
-Flat warts are most evident under illumination
-Sub ungual warts may be dry, fissured may resemble hangnails
-Warts are usually not painful, but warts on the soles of the feet (plantar warts) often painful and resemble plantar corns.
-Cervical warts increase the risk of cervical cancer

Management and Nursing intervention

Warts are usually self – limiting

Treatment is aimed as long as possible without scarring, since no treatment can guarantee or prevent recurrence. In immune-compromised patients the goal is probably even more modest, ie to control the size and number of lesions present.

A- Removal of wart

1. Cry therapy like liquid nitrogen – applied for 5-10 seconds every 2-4 weeks – scarring will occur if it is used incorrectly, or too aggressively. Improper use along the side of the fingers has been reported to cause nerve damage. The treatment also causes permanent depigmentation in darkly pigmented individual

2. Keratolytic agent

Warts may be treated by applying a 40% salicylic acid plaster .The plaster may be left on, for 5-6 days, for weeks or months, to eradicate the wart; the method is safe and effective with almost no side effects

3. 25% podophyllum resin in compound tincture of benzene or alchol applied weekly on anogenital wart, the treatment is not used for pregnant mothers

4. Operative removal, plantar warts may be removed by blunt dissection. Electrocautery may be used for excision of warts, however, this may result in a permanent painful scar on the foot

5. Other agents – bleomycin diluted to 0.1% with 0.9% saline may be injected under warts, not exceeding 0.1 ml per puncture. It is useful for plantar and common warts

a. Retinoids Tretinoin (Retin – A) cream or gel applied topically twice daily may be effective for facial or beard area warts

b. Physical modalities soaking warts in hot (42.20c) water for 10-30 minutes daily, for 6 weeks.

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Warts : What Is It ? Natural Treatment, Nursing Management and Advice For Patient 2018-12-26T00:09:00-08:00 Rating: 4.5 Diposkan Oleh: David Maharoni