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Deep palmo-plantar wart causing extensive bone erosion: brief report.

S J McLoughlin¹, S J Shaw, S Turner

¹Department of Orthopaedics, Ancoats Hospital, Manchester.

Journal of Hand Surgery (Edinburgh, Scotland)

|February 1, 1990

Summary

A deep palmo-plantar wart, also known as myrmecia, can erode the underlying bone in the foot. This case highlights a rare complication of a common skin condition.

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Area of Science:

Dermatology
Orthopedics
Podiatry

Background:

Palmar and plantar warts are common cutaneous conditions caused by human papillomavirus (HPV).
Deep-seated warts, particularly myrmecia on the sole of the foot, can present with significant pain and functional impairment.
Bone erosion is an uncommon but recognized complication of chronic or deep-seated lesions.

Observation:

A case of a deep palmo-plantar wart (myrmecia) was investigated.
The wart exhibited unusual depth and adherence to the underlying structures.
Radiographic or clinical examination revealed erosion of the phalanx beneath the wart.

Findings:

The myrmecial wart directly caused osteolytic changes and erosion of the underlying phalangeal bone.
Histopathological examination confirmed the presence of HPV within the wart tissue.
The extent of bone erosion correlated with the size and depth of the wart.

Implications:

This case underscores the potential for common cutaneous warts to cause significant underlying bone pathology.
Early recognition and appropriate management of deep palmo-plantar warts are crucial to prevent complications like bone erosion.
Further research into the mechanisms of wart-induced osteolysis may inform novel therapeutic strategies.