Diagnosis Banding
Verruca plantar must be distinguished from regions where lesions callositis waxy, thick, yellowish and there are no capillaries in the peel. Cron occur in places affected by pressure and are usually smaller and pain with blockage in the middle.
Veruka Plana should be distinguished liken Planus which shows a purplish and diskolorasi Wickham stria. Planus liken lesions usually associated with itching and certain mucosal lesions.
Nevus epidermal similar verruca digitata or verruca filiformis. Molluscum contagiosum lesions are white with papul seen umbilikasi or in the middle of the curve.
Verruca and Malignancy
Verruca benign in individuals imunokompeten almost never become malignant. There are a few reports of lesions that begin as verruca and later became squamous cell carcinoma is invasive. The combination of verruca periungual with genital HPV disease should be special attention.
Verukous many lesions occur in individuals with immunosuppression and in patients who receive organ transplants is about 50% of patients with renal transplants develop into verruca, five years after transplantation. Exposure to sunlight increases the incidence of lesions verruca and act as kokarsinogen. Changes displasi almost certainly happen and very little relationship between the clinical symptoms with the histological picture. The lesions are a particular form of the virus verruca, Keratosis Bowenoid or diesel or keratoakantoma or squamous karsinomata. Some types of HPV have been found in benign squamous lesions and malignant in patients with immunocompromise and a role in the initiation and progression of malignant processes.
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