GuidelinesPrimary Care STG
Plantar Warts
Warts
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B07
DESCRIPTION
- Commonly appear on the pressure-bearing areas of the soles and can be painful and interfere with walking
- Lesions often have a flat, circular appearance, as pressure on the sole of the foot forces them deep into the dermis. They have a rough surface and are often thick and hard due to increased keratin formation
- As they are contagious, walking barefoot in communal areas should be discouraged
MEDICINE TREATMENT
- Salicylic acid, 15 to 30% topical liquid application
- Protect surrounding skin with petroleum jelly
- Apply daily to wart and allow to dry
- Occlude for 24 hours
- Soften lesions by soaking in warm water and remove loosened keratin by light abrasion
- Wash affected area well, dry, reapply the wart paint and occlude
- Repeat process daily until the wart disappears
LoE:IIIb32
REFERRAL
- No response to treatment
- Diabetic patients
Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.0_07 November 2024
Chapter 5: Skin Conditions_5.15.3 Plantar Warts