Vulgar warts in most cases are spontaneously resolved within 2 years. Children can spend suggestive therapy, for example, to prescribe a magnesium oxide on 0,5-1,0 3 times a day during 2–3 weeks. The basic methods of treatment are physical or chemical destruction of warts. For this purpose use following agents:
– Applications of 5-10 % of an is milk-salicylic collodion;
– Applying of 40 % of salicylic Emplastrum within a week with the subsequent applications of an is milk-salicylic collodion;
– Cryotherapy by snow of coal acid or liquid nitrogen during 15–30 C;
– 5 % ointment, a dusting powder with Resorcinum, greasing by the concentrated peroxide of hydrogen and other blasting agents.
At plantar warts in addition do the warts prickling of 1-2 % Novocain solution; cryotherapy or curettage a spoon of Volkmann. Also it is recommended treatment of plantar warts by a hyperthermia for what it is necessary for patient to immerse feet in hot water (45°С). Procedure is spent 2–3 times a week; in total a course should consist of 16 procedures.
Flat warts can disappear spontaneously, especially as a result of their unprovoked inflammation. The good result is given sometimes by daily processing of warts with retinoid acid of 0,05 %.
Peaked condylomas it is possible to delete with a electro caustic soda and laser therapies, surgical excising; it is used also applications of Podophyllinum acids.
The purposes of external therapy are: 1) elimination of an immediate cause of disease, and also the pathological changes which have developed in a skin and the subjective sensations bound to them; 2) protection of the amazed sites against external influences.
At treatment of skin diseases it is necessary to consider that each stage of illness demands various medical products and, in particular, forms for external application. In the course of treatment it is necessary to watch dynamics of the disease process which external symptoms are accessible to survey and allow estimating results of a therapeutic intervention.
In an initiation of treatment of the patient it is necessary to examine daily or in 1–2 days and to write out to it medicines in a small amount. It will force the patient to come to the doctor for timely correction of treatment as with change of dermal process the prescribed medicines can become useless and even harmful. In the course of skin treatment accustoming to those or other medicines can be observed, therefore it is necessary to cancel or change concentration.
Starting external treatment, it is necessary to clear preliminary the amazed skin of crusts, the rests of the used ointments and etc.
It is necessary to take for a rule: in the beginning of external treatment you need to apply therapeutic agents for the limited site and only at good shipping to use them for treatment of all amazed skin.
Considering unequal reactance of a skin at different people, it is necessary begin the treatment applying weak concentration of medical products, gradually raising their dose and passing to more active operating medicines.
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