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"Similar-Looking but Different Conditions: Understanding Treatment for Calluses, Milia, and Warts"

by OK2BU 2024. 1. 27.
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At first glance, calluses, milia, and warts may seem similar, making it challenging to distinguish them based on appearance or texture alone. However, these conditions differ significantly in their causes and treatment approaches. Accurate identification is crucial for proper treatment. Calluses and milia result from repeated pressure on the skin, while warts are caused by viral infections.

 

Calluses and Milia: Skin Changes Due to Pressure

Both calluses and milia develop when the skin is subjected to repetitive and prolonged pressure. However, a key factor that distinguishes them is the presence of a "core." Calluses are relatively larger in size and typically painless. External pressure leads to an increase in the thickness of the skin's stratum corneum, forming calluses. Milia, on the other hand, appear in narrow areas where irritation is concentrated. They manifest as cone-shaped bumps with a core that can exert pressure on surrounding nerves, causing pain.

 

To treat these conditions, it is essential to reduce pressure by wearing comfortable shoes. Calluses can be removed after complete drying using keratolytic agents to eliminate dead skin. For milia, pain-inducing cores must be removed. This involves using lactic acid ointments or milia creams to soften the skin, followed by gentle extraction using a clean blade. In severe cases, cryotherapy at a medical facility may be considered.

 

"Similar-Looking but Different Conditions: Understanding Treatment for Calluses, Milia, and Warts"
While calluses, milia, and warts may appear similar, their causes and treatment methods differ significantly.

 

Warts: Epidermal Overgrowth Due to Viral Infection

Warts, which should be suspected as they grow larger and increase in number, are caused by infection with the human papillomavirus (HPV). Warts, highly contagious, can spread to other areas or individuals as they enlarge. They appear as raised growths with an irregular surface, causing pain when pressed. Visual cues include the presence of black pinpoint blood vessels, and if bleeding occurs upon scraping, it indicates a high likelihood of a wart.

 

Given their high contagion potential, attempting self-removal is risky, as the virus can spread through damaged skin or keratinized tissue. Early intervention is crucial to prevent complications, and if the condition is severe, complete removal can be achieved through medical procedures such as cryotherapy, electrocautery, or laser therapy.

 

While calluses, milia, and warts may appear similar, their causes and treatment methods differ significantly. Seeking an accurate diagnosis and implementing appropriate treatment are crucial. In some cases, consulting a specialist may offer the most reliable solution. Consistent skincare and regular skin examinations are essential for maintaining healthy skin.

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