Warts are fairly common neoplasms that appear on the skin and mucous membranes of a person. These benign growths can occur in people of all age categories. Sometimes they are completely invisible to their master, and sometimes they cause significant discomfort and pain.
In such cases, the question arises: which doctor should be treated with warts to remove them? Poorly guided in the areas of activity of health workers, education owners sometimes decide to independently remove the growth, which can lead to undesirable consequences – infection of the wound or degeneration into a malignant neoplasm. You can find out what a specialist for the treatment of warts is called from this article.
Types of warts and causes
The culprit of the appearance of warts is the human papillomavirus (HPV), numbering more than a hundred varieties. Some of them can provoke the appearance of malignant neoplasms. Warts are usually caused by non-oncogenic strains. The branch of medicine that studies such skin diseases is called dermatovenereology. Accordingly, a doctor who treats warts and is called a dermatovenerologist or dermatologist.
HPV infection usually occurs unnoticed by humans. Moreover, the virus can be in the "sleep" mode for many months, waiting for the occurrence of suitable conditions for the attack. Weakening of the immune system against the background of the disease, severe stress, adverse conditions, poor nutrition contribute to the activation of the virus, and single or fused epidermal growth groups appear on the body.
20% of cases of the appearance of warts end in their spontaneous disappearance or can be cured by simple folk methods. This does not cancel the need to consult a dermatologist in order to diagnose the type of HPV that will continue to live in the body in anticipation of a new opportunity to prove itself.
Warts can be very different from each other. The treatment regimen depends on what species arose and where it is localized.
In medical practice, the following types are distinguished:
- Ordinary (vulgar) – a common type. It happens in children and adolescents. Overgrowth has a rounded shape and an uneven surface, the color is a little yellowish. It usually appears on the hands or face. It can form conglomerates “headed” with a uterine wart. Its removal often leads to the death of neighboring growths. This type is prone to spontaneous extinction;
- Plantar (tongs) – a variety of ordinary warts, localized on the feet in places of strong pressure shoes. Poor hygiene combined with sweating feet and tight, poorly ventilated shoes contribute to the appearance of dense, callus-like, painful outgrowths of gray-dirty color;
- Flat (youthful) – small neoplasms with a smooth surface, located, as a rule, on the hands and face. In rare cases, it can occur on the mucous membranes of the genitals and rectum, which should be an occasion to immediately consult a dermatologist;
- Threaded (acrochords) – rounded growths of the epithelium, towering above the surface of the skin on a thin leg. Localized on the face, neck, armpits, under the mammary glands;
- Genital (genital warts) – are formed in the form of peculiar “inflorescences” of an overgrown pink epithelium located in the groin and anus, in the oral cavity. Frequent friction may turn black. Must be removed by surgeon;
- Senile – are not warts in the true sense, appear in the elderly. Do not have a viral origin. They are small grayish-brown growths on the skin, covered with seborrheic scales. They should be distinguished from melanoma.
Which doctor treats and removes warts
What to do when a pathologically altered epithelium appears in the form of a wart and which doctor should I contact? It is best to immediately start looking for an experienced dermatologist. In the treatment of skin diseases, a significant role is played by a specialist examination. An experienced doctor can make an initial diagnosis by external signs, which subsequently with a high degree of probability will be confirmed in the laboratory.
When to urgently seek help:
- The resulting papilloma began to grow and changed color;
- The growth is bleeding and itching;
- The growth has the appearance of a “blurry spot”;
- The number of warts is increasing.
Since neoplasms can occur on any part of the body, the choice of a specialist who will deal with their removal depends on the place of their detection:
- Warts that have arisen in the area of the mammary glands should be examined by a mammologist. These growths are quite dangerous, because can provoke breast cancer in women;
- If warts appear in the genital area, you need to go to a specialist. Such a doctor is called a venereologist. He will make a thorough examination for the detection of papillomavirus and prescribe a comprehensive treatment and removal of dangerous growths;
- Sometimes pathological growths are not detected at all by a wart specialist, but by other doctors. For example, at a reception at the gynecologist and urologist. Then these specialists prescribe treatment and give directions for surgical removal of growths;
- The most common, localized on the hands and feet, are removed by a surgeon or dermatologist. The first, unlike the second, simply removes them without finding out the reason for the origin. In addition, not every wart can be excised without negative consequences;
- When a child has a wart, we go to the pediatrician for a referral to a surgeon or dermatologist;
- In cases where a dermatologist has doubts about the benign quality of the growth, he refers the patient to an oncologist or dermatologist.
How to treat and remove warts
In a medical institution, at a reception about a wart, the doctor examines the area of the growth, interviews the patient about the timing of his appearance, about concomitant diseases. In special cases, dermatoscopy or histological examination is performed.
Only a specialist will be able to distinguish warts from other skin neoplasms – melanomas, moles, dermatitis of allergic or infectious origin.
To determine the strain of the virus that caused the appearance, produce a PCR blood test. Blood is given on an empty stomach, i.e. after 10-12 hours of abstinence from food intake. It is advisable not to drink alcohol for the 2-3 days preceding the analysis.
Treatment is carried out in two directions:
A surgeon's simple removal of a wart gives a temporary effect. The growth disappears, but the virus persists in the body. Therefore, a competent specialist will definitely prescribe the intake of immunostimulating and immunomodulating drugs, vitamin complexes. If the activation of the virus provoked another disease, it is necessary to cure it. These measures will help prevent the re-growth of infected epithelium.
Methods used by surgeons and dermatologists when removing warts:
- Cryodestruction – exposure to liquid nitrogen. Fast and painless method;
- Laser coagulation – layer-by-layer burning out of a growth by a laser beam. After removal, a small depression remains on the skin. During the procedure, local anesthesia is used;
- Electrocoagulation – removal using electric current. This method is also used for sampling for histological examination;
- Surgical removal – Cutting out the growth with a scalpel under local anesthesia. It is used to remove extensive growths;
- Chemical removal – destruction of the wart with acid or alkali. Because of the risk of damage to neighboring healthy areas, the method is considered dangerous and rarely used.
It is recommended to seek medical help immediately upon detection of neoplasms. Timely therapy will help contain the onslaught of the virus. And most modern methods of removing warts are safe and do a good job of solving the cosmetic problem caused by growths.