Practical podiatry : . lantar surface of the foot oftenhave cracked, uneven overgrowths around and on them,which upon superficial examination may be mistaken for verruca, but a test (seeMiscellaneous Foot Le-sions—Syphilis) willmake it possible for thepractitioner to e 1 i m i-nate syphilis as afactor. Venereal warts oc-cur on the genitals onlyand need not be consid-ered in this chapter. Verruca and helo-ma vasculare are oftenconfused, but inasmuchas the treatment is iden-tical in both theselesions, an error in di-agnosis is of no par-ticular consequence. Inheloma vasculare
Practical podiatry : . lantar surface of the foot oftenhave cracked, uneven overgrowths around and on them,which upon superficial examination may be mistaken for verruca, but a test (seeMiscellaneous Foot Le-sions—Syphilis) willmake it possible for thepractitioner to e 1 i m i-nate syphilis as afactor. Venereal warts oc-cur on the genitals onlyand need not be consid-ered in this chapter. Verruca and helo-ma vasculare are oftenconfused, but inasmuchas the treatment is iden-tical in both theselesions, an error in di-agnosis is of no par-ticular consequence. Inheloma vasculare theaffected papillae, whichare found in the horni-fied skin, are few innumber and are confined to a limited area, whereas in ver-ruca all the papillae are affected and the entire growth isvascular. Prognosis. Some verrucse disappear spontaneously,but those appearing upon the foot are persistent and pain-ful, and require regular treatment to effect a cure. Thegrowth will get well with proper attention and only when it. EPITHELIOMA VERRUCA 191 changes its nature and becomes malignant, is the prognosisunfavorable. Treatment. The treatment of verruca is more variedthan the treatment of any other chiropodical lesion, and thepractitioners using these different methods all seem to favorthe one particular form with which they have had the mostexperience and thebest results. Treatment is gen-erally effective, thepercentage of f a i 1-ures being very small,notwithstanding thestatement of thosewho expect immediateresults, and not re-ceiving them, claimfailure on the part ofthe practitioner. The varioustreatments are as fol-lows: Potential Cau-tery—including thefollowing chemicals:Nitric Acid, AceticAcid, MonochloraceticAcid, TrichloraceticAcid, Salicylic Acid,Silver Nitrate, Potas-sium Hydroxide, Sodium Hydroxide and PyrogallicAcid. Excision. Fulguration. Electrolysis. Direct Cautery. Carbon Dioxide Pencil.
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