Clinical Dermatology
Information on Papillomas
Skin papillomas, as defined in medicine, are small patches of the skin that resemble moles and appear primarily on the neck, armpits and the area under the chest or bra on women. Skin patches are a very common phenomenon affecting almost all ages. They are small sums of cells of the same skin colour and project from the skin either with a broad base or with a small stem. The colour of papillomas may be like normal skin or have a brown hue.
What Causes Papillomas?
Papillomas are caused by HPV, exactly like warts. In contrast, however, with virus manifestations, papillomas are not easily transmitted because they are due to HPV types of low-risk, HPV6 and HPV11. Each person's immune system reacts differently, which means that papillomaviruses will not get in contact with HPV. Generally, the incubation period, the time from contact with the virus to the appearance of papillomas, is about 3 months, but the virus may remain inactive for years. Because papillomas are more common in children, some experts believe that adults get immunity to HPV. It is important to note that, although papillomas are not transmitted from person to person, they can multiply in the same patient's body in the event of injury.

How Is Diagnosis of Papillomas Performed?
Papilommas are mostly simply irritating for the patient, as they do not cause any pain or other inconvenience. The hot and humid areas of the body, such as the throat, the armpits, under the chest, eyelids, groin, are more prone to present the lesions due to increased friction of the skin at specific body parts due to their corrugations, favouring the development of HPV. If the papules grow and proliferate, they are likely to cause itching, burning sensation and pain when touching, especially in the summer where there is intense sweating, or in the winter they can often get tangled in some woolen outfit or jewelery. If for some reason, such as friction or irritation, the papules are injured, there is fear even for bleeding. Sometimes the papules are very large in size and form the warts or corpuscles.

How Dangerous Are Papillomas?
Although any person, male or female, may develop papillomas due to the HPV virus, the two factors most susceptible to their appearance are obesity and diabetes.

Overweight people are more likely to develop papillomas due to their excessive sweating. Sweating favours the formation of papillomas especially where the body forms folds, which are typical in the case of obese people.

In the case of people with diabetes, papillomas can occur because of their low immune system. For this reason, it is necessary to visit a dermatologist if a diabetic develops papillomas because diabetics are at risk of becoming infected with papillomas much more easily as they are generally susceptible to infections, microbes and viruses.

Increased probability of papilloma also applies to people with disturbed hormonal system, including thyroid gland disorders and pregnancy. The role of heredity in the case of papillomas should not be ignored, as in many other skin conditions.

How Does Diagnosis For Papillomas Work?
Diagnosis of papillomas is performed only by a specialised clinical dermatologist, because it is very easy to misinterpret it for something else, such as warts. Also, they should not be neglected because several times they can develop malformations and develop into skin cancer. In cases where the patch is odd and always at the discretion of the specialised clinical dermatologist, it is sent for biopsy after it is removed.

How Can Papillomas Be Prevented?
Although we can not predict whether a person is a carrier of the HPV virus, we can take some steps to prevent the occurrence of papillomas and their spread if they have already appeared.
  • Vaccination with the Gardasil four-wound vaccine. It is so called because it protects the body from papillomaviruses HPV6, HPV11, HPV16, HPV18.
  • Avoid scrubbing the body with a sponge during the bath.
  • Avoid wearing necklaces in case we have papillary neck because we can irritate them, bleed and spread.
  • It is forbidden to remove hair in the papillary areas through the use of a razor.
  • If papillomas are observed due to obesity, it is recommended to lose weight to stop their spread.
  • It is suggested that papillomas should be removed immediately in order to avoid their future irritation resulting in their multiplication.
How Are Papillomas Removed?
At Dermatology & Cosmetics Lab, we use the most modern and effective methods for removing papillomas.
  • CO2 laser: Laser papillomas removal is the most modern and effective papillary treatment that leads to complete elimination of existing lesions. The treatment is extremely accurate and targeted. The laser beam is directed perfectly and eliminates the papillomas without leaving any scars on the skin. Also the surrounding healthy skin remains intact. The use of CO2 laser is painless, bloodless and immediately after removal of papillary papillomas, the patient immediately returns to his activities.
  • Cryotherapy: The patch is cooled with liquid nitrogen at low temperature and then destroyed. After the area has defrosted, the dead tissue is detached. However, there is a possibility that a sign remains and the result is not good, so cryotherapy is recommended in cases of very small papillomas.
  • Electrocautery: It is a method that destroys the pile using electricity. For destruction of the tissue a small probe is used, which is penetrated by electric current. Burning papillomas is often an effective method in cases of very small papillomas because it tends to leave scars.
  • Surgical removal: Large-sized papillomas, those that have developed into warts or hanging serum, are surgically treated to completely eliminate the lesion. Local anesthesia is required, the incisions are very small and performed in the clinic. It is a simple and painless process.
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