Frostbite After Cryotherapy?

Discussion Veruccae plantaris or plantar warts are caused by Human Papillomavirus which causes benign epidermal tumors that often have a cauliflower pattern on the foot that may be elevated or flush with the surrounding skin. Lesions may resemble calluses but the normal footprint pattern is disrupted. The lesions often have pinpoint hemorrhages that appear as black dots. In an immunocompetent individual, the lesions usually have spontaneous resolution within 2 years but the infection may spread to create additional lesions. The lesions may also cause pain or discomfort because of their size or location. There are numerous potential treatments for common warts. A 2012 Cochrane Collaboration evaluation found salicylic acid to be better than placebo especially for hand lesions. Cryotherapy overall for all sites was not better than control, but for hands may have slightly better outcomes. More aggressive cryotherapy was more effective than gentle cryotherapy but had increased side effects. In general, cryotherapy for verrucous lesions tries to include the actual lesion and a 1-2 mm halo of normal tissue around the lesion. Even with professional equipment it still can be difficult to control the precise application of the cryotherapy to the verrucous lesions because of the lesion location, lesion depth, width of the liquid nitrogen spray from the applicator, and the length of time the cryotherapy is applied. Cryotherapy application by cotton bud is more precise as it is a direct...
Source: PediatricEducation.org - Category: Pediatrics Authors: Tags: Uncategorized Source Type: news