Pathology
Human papilloma virus
Occur in any part of sole
Clinical Features
Do not project above level of skin
- because of pressure of weight bearing
- seldom more than 1cm in diameter
- skin surrounding wart thickened and raised
- edge clearly demarcated from surrounding skin
Severe localised pain on walking
Local tenderness on pressure
DDx
Plantar callosities
- warts occur anywhere
- callosities occur over points of pressure
- warts have clearly defined edge with possible cleft between it and skin
- callosities blend with surrounding skin
- warts have punctate bleeding
Treatment
Non-operative
Cauterisation / freezing / Paring
Operative
Curettage and cauterisation of base
- (care taken with digital nerves etc)