Nipple - symptoms and treatment

What is the nipple?The causes of phenomena, diagnosis and treatment method will be analyzed in the dermatologist article with experience 37 years.

Determination of the disease.Causes of disease

Nipples-This uneven light bodily bodies are in the form of localized upper layer of leather (epidermis) with papules (nodules) or plaques are uneven.

The frequency of nipples in adults is 7-12%, in school children - up to 10-20%.

The nipples are very similar to other leather neoplasms.Usually a person cannot independently determine the disease independently, therefore, to make a diagnosis, it is necessary to contact the dermatologist.

The cause of appearance of nipples is human papillomavirus.Various nipples that can develop depends on the type of virus.So, any type of virus of human papillom affects the fabric in the localization that is the most characteristic for it.

Type of HPV	Exceptionally Localization	Types of nipples
1	Feet, knees, palms, Brushes, fingers	Potkanarnar and palmari nipple, Occasionally - simple nipples
2, 4	Hands, fingers, knees, Less frequent - steps	Simple nipples, Occasionally - Plantar, Palmar and mosaic nipples
3, 10	Shin, hands, face	Flat nipples
7	Brushes, fingers	Butcher nipples
5, 8, 9, 12, 14, 15, 17, 19-24	Face, hands, Front body	Verruchimyc epidermodysplasia

The virus infection usually occurs in the contact path - with direct contact of infected and healthy skin (for example, with handling) or indirect (through handrails, toys, etc.).Therefore, it is possible to infect the human papillomavis virus in a wide range of places - in public transport, at school, at work, houses, in places with a high contact and wet environment (pools, saunas, gym).Small injuries to the epidermis through which viruses, as well as inflammation of the skin, contribute to the infection.

Also, the appearance of nipples contributes:

• Immunodeficiency (including HIV infection);
• warm and humid environment;
• The need for professional contact with meat and fish ("Butter Bradavica").

Some types of viruses of human papillom are transferred from parents.

But from the frog and frog, despite horror stories that are so often afraid of childhood, you can't get infected - this is one of the most popular myths about this disease that has no reason.

If similar symptoms are discovered, contact your doctor.Don't self-synchronize - it's dangerous for your health!

Symptoms of nipples

Depending on the type of nipple, the symptoms will vary.

Ordinary nipple:

• Round thick papule of conventional color size 1-10 mm and larger.
• The surface of the papule is covered with cracks, layers.
• If the father is on his finger, then the print is disappeared and distorted.The same applies to the drawing of the palm.
• Simple nipples are located in one and a few pieces - usually appear in the places of the biggest injuries (hands, fingers, knees).
• When testing the dermatoscope, the doctor can see small brown points - the Capilare company Throbbled (clogged).Patients often invite such points of "roots".This is the main feature for the doctor: a dermatologist may distinguish nipples from other similar diseases (for example, contagious meculars and keratomas).

Social (horn) nipple:

• The main symptom that the patient usually advises the doctor's pain when pressing and walking.
• Such nipples are localized usually on their feet.
• When the doctor is usually contacted, as a rule, a keratinized unequal board is visible, although in the first phase you see more smooth papulus.With keratinization, capillaries can only be seen if you remove a keratinized layer of the skin.
• Skin sample is distorted.
• They are usually canvas plantar alone, but there are 2-6 pieces;
• Often these nipples are confused by corn (especially with dry) - with this problem description problem, patients usually come to reception.

Apartment (Mladenacki) nipples:

• The mistake, this is round, clear, smooth papulus normal, pink or brown 1-5 mm.
• He appears on his hands, lower legs, very often on his face.
• There are always several such nipples - are in groups.

Epidermodisplasia from Verrucilia (senile nipple):

• A large circle of numerous neoplasms normal, pink or brown.
• They most often appear on the face, hands, the front of the body.
• You can confuse with keratom, lichen and skin cancer.

Pathogenesis nipple

If the human papillomavirus in latent state enters the latent state - a person usually does not even know for her existence.When the factors make favorable for the virus, "multiply" begins in the epithelium, which leads to changes in tissues.

Unlike other viruses, human papillomavirus does not destroy epithelial cells - they die alone, of course - in the process of keratinization and peeling.

In the expansion of infection, local factors and the state of the immune system are influenced.Thus, people with HIV infection or transplanted kidneys are more susceptible to the development of nipples.Moreover, these neoplasms are often difficult to treat.With normal immunity virus does not affect the deeper layers of the skin, so many people have nipples alone after a few months.

The main phase of the appearance of the nipple is to accelerate the rates of the division and growth of cells with the virus.Such a quick metabolism leads to thickening of layers of the skin.Since fabrics grow in a particular, small area, Tuberklach, which is called nipples.

Classification and phase of nipple development

There is no universally recognized wart classification.However, several often meters can be distinguished:

• Plain nipple- The most common guy (70% of the nipples is just them).Such neoplasms do not feel and cause only aesthetic discomfort for a person.
• Social Governor- It appears on the legs, painful, so requires treatment.The appearance of such nipples facilitate skin injuries due to unpleasant, cramped, rubbish shoes.
• Flat nipples- They are more often in young people, adolescents.It is due to the unstable hormonal background of young people, which affects the whole body.Usually flat nipples are almost invisible.
• Senile nipples- Inherently for the elderly.They often appear on the parts of the body, which is covered with clothes, but can meet on the face and hands.If there is no discomfort, it is not worth treating such nipples - medicinal healing in the elderly can take place much slower, which is in young people, due to slow metabolism.

Other authors vary several more of these nipple species:

• Mosaic nipples(HPV 2, 4) - Neoples on palms and soles.They look like foci hypercheralatosis, ie thickening of the skin layer (usually in the front of the foot), covered with deep cracks.
• Cystic nipples(HPV 60) - Very rare type of neoplasm on the foot.It's a soft node with cracks.When opening, white-yellow discharge appears, similar to the cottage.
• Film nipples- Thin horns near the mouth, nose or eyes.
• Bradas "Butchers"(HPV 7) - appear on the hands and fingers of people who are constantly in contact with meat and fish.They are presented in the form of hypertrophic neoplasms similar to the cauliflower, but normal.

In addition, the types of nipples differ depending on their localization.

Therefore, neoplasms for angels - tumors that appear on the genitals (especially in the places of leather on the mucous membrane are often found.Usually causes them HPV 6 and 11.

Complications of the nipple

The main reason why nipple patients go to a doctor is a aesthetic failure that can affect the quality of the patient's life, his self-confidence and develop a lot of complexes.Complications include the shooting surface of the nipples and join the infection, and with some types of warts - perfection during walking.

In malignant neoplasms, leather nipples are usually not obvious, they are quite harmless, but in very rare cases, such complication can still occur in people with oppressed immunity.

Other complications occur when attempting independent removal of neoplasms.In this regard, inflammation and aesthetic shortcomings in the form of scares, as well as further expansion of viruses on the skin, which is why a person can wake up with several new mornings after independent removal of one nipple.

Remember that the nippled nipple can hide to hide a completely different disease, which cannot be determined without consulting an experienced doctor.

Diagnosis of nipples

Typically, let's make a diagnosis enough inspection (clinical picture) and collected history (medical history).

In order to confirm the diagnosis, the doctor may carry out a histological study - the study of neoplasmic cells.

It is very important to implement a differential diagnosis - distinguish nipples from other diseases.For example,Ordinary nipplesIt is necessary to distinguish from the following diseases:

• Contagioine Mollusk- It is more often appearing on the body and genitals, less often on their hands and legs.It is a hemisphere with pressure on the surface, when pressed from the sides, whitish "turbulent" is highlighted.
• Epidermal double nevus- More often loneliness, the person is from birth.Out above the surface of the skin, often covered with hair.
• Basalioma- The tumor in the shape of the roller nodes in the center is covered with bark.Inherent in the elderly.

Ladomarni judicial nipplesIt is necessary to distinguish from the following diseases:

• Keratoderma- large areas of keratinization and skin inflammation.There are no trembling capillaries.
• Ladomary-Sifilids- Multiple painless neoplasms, along the periphery, leather deposits.The reaction to Syphilis is positive.
• Corn- Usually painless can cause pain only with vertical pressure.

The doctor should also distinguish the remaining types of nipples from several diseases.In case of suspicion of another pathology, it may prescribe additional diagnostics (for example, the identification of antibodies for viruses, CT or MRI).

Treatment of nipples

The treatment of nipples is performed in aesthetic purpose and improve the quality of life of the patient.It can only prescribe it a doctor after the test and precisely diagnosis.Independent attempts to resolve nipples are unacceptable, as the patient without medical education and the necessary equipment cannot be exactly determined by disease, and complications after such "treatment" occur much more often than recovery.

There are several methods of treatment for healing nipples.Everyone is usually carried out under the supervision of the doctor, and some of them - only in the terms of the clinic procedural office.

Chemical treatments methods

To resolve nipples, used milk salicylic collidia and salicyl mortar are used.Percentage of drugs and methods of their use (long-term wearing of mortar, applications, etc.) depends on the prevalence and localization of neoplasm.

Circus and 2-chloropropionic acid can also be used.In this case, the chemical composition applies to pre-prepared areas, which is left on the nipple while the color changes (depending on the type of nipple).The procedure is repeated several times after 7, 14 and 21 days.Before each procedure, the fabric is removed mechanically.

The second chemical method is a combination of nitrogen, acean, oxalic, dairy acids and copper nitrates of Trihydrata.In this way, only relatively small neoplasms are treated - up to 5 mm.The solution was left and until the color of the nipples change.After 3-5 days, the patient comes into a control technique, if necessary, prescribes another procedure after 1-4 weeks.

Cryoderies

This method consists of freezing the wart with liquid nitrogen: moistened lining is pressed on damaged skin (with capturing the surrounding tissue in several mm) 1 1-5 minutes.Destroying some neoplasms requires several procedures with an interval of four weeks.

The main shortcomings of cryodertion are its pain and defined performance compared to other methods in which only one process is often enough to remove.

Electrical agulating

Under the influence of electricity, the nipple is removed in accordance with the layers.Such an operation is performed under local painkillers.

This method is more efficient than cryoderies, but has significant minus: electrocoagulation often leaves scars at the point of removal of the wart.For those patients who are referred to the removal of cosmetic damage,This method will not be most suitable.

Laser destruction

With the help of lasers, nipples are removed in layers.The sacroller is in contact with leather for a few seconds to three minutes, depending on the size.Then a scab that appeared cut, and the bottom of the wound is treated with laser again.Then the patient was sent to the methods of wound processing.The operation itself is done under the influence of local anesthesia.

Radio waves surgery

Radio wave surgery is one of the most modern and gentle methods for removing some benign neoplasms, including nipples.

The method is based on the generation of electromagnetic waves with different frequencies: from 100 kHz to 105 MHz.During the proceedings, the tissues resist passing waves, which relates the molecular energy into cells, which heats the skin.Under the influence of heat, cells actually evaporates - a neat cut is obtained.At the same time, no mechanical effort is on the affected fabric.

Pros these methods:

• security;
• rapid healing wound;
• Good cosmetic effect - excluded scars and scars;
• Relative colorball - local analgesic is used before mini labor;
• Turning off the secondary infection due to automatic electrode disinfection when the device is switched on.

The efficiency of this method is recognized around the world, however, it is quite difficult to find the clinic in which the surgery method of radio waves is used.

What is the manner of choice for treatment

All these methods have several shortcomings:

• In the first few weeks, the repeated area has an unattractive look - crust, darkening fabrics.This must be taken into account if the nipples are on visible parts of the body (for example, on the face).
• An unpleasant smell and some degree of pain during surgery.

In addition, each of these methods has contraindications that need to be learned on the preliminary conference of the dermatologist.

But the main minus isThe high probability of relapse, especially if the nipples were common, extensive.With each of these methods, doctors do not fight against the root cause of the disease, but with its consequences, from todayThe virus of the human papillom cannot be cured.

Therefore, therapy is aimed at:

• or destruction of neoplasms arising at the place of introducing a virus;
• or encourage an antivirus immune response;
• or on a combination of these approaches.

Destructive treatment methods are most often used.Their efficiency reaches 50-80%.

For surgical methods, child age treatment is usually not a contraindication.Therefore, many of them (including radio wave surgery) are used to treat warts in children.Exception is chemical removal of warts due to the possibility of adverse reactions to the substance.

What to do after surgery

After any of these operations, be sure to follow the recommendations of doctors who attend.

After the removal of neoplasm of any of the presented methods, the doctor usually prescribes the processing of the removal places.It is forbidden to remove "crusts" independently, wound wound and expose it to direct sunlight.

If the patient continually suffers from the nipples, then he should advise immunologists - can require drug therapy, which will increase the resistance of immunity to human papillomavirus manifestations.

Forecast.Prevention

If the patient has no immunodeficiency, nipples can pass alone, but this will take a long time - from a few months to a few years.Thus, in 65% of cases of nipples are independently regressing two years.If two years later, the nipples are still on the spot, then it is recommended to remove.Multiple neoplasms recommended immediately removed.

With normal immunity and properly selected removal method (depending on the size and type of nipple), it is possible to remove pathogenic tissue and achieve a good cosmetic effect.With reduced immunity and other prediseable factors, the human papillom virus causes relapse.

Specific disease prevention does not exist.But is it so inevitable?

You can reduce the probability of the virus if you follow a few rules:

• Do not go barefoot in public places where it is possible to injure the skin and become infected with a virus (pools, public showers, gyms).
• Choose high quality shoes, change it often.Try to keep your legs dry.Heat and humidity are a great environment for the spread of the human papillom of the virus.
• To avoid patronage nipples, go to a manicure only for certified masters and make sure they use sterile tools.

For the prevention of anogenital nipples, according to the WHO (World Health Organization), the four-light vaccine from the human papillom of the virus is also very effective.There are no vaccines for the prevention of other types of nipples.

If you find one nipple, don't try to burn, stop it yourself, cut it out - so you can contribute to inflammation and further relocation of the leather virus.After such "removal" instead of one nipple in the morning you can wake up with ten.