Pic with circle is 27th June, another is today

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plantar wart verruca plantaris sole foot

Clinical photography of a plantar foot displaying a verruca plantaris (plantar wart). Modality is a high‑quality gross image used in dermatology documentation. Precise location is the plantar surface of the foot (sole), with a focal, endophytic lesion that is rough and hyperkeratotic. Visual features include a circular to oval papule with a central crater or indent, irregular surface texture, and surrounding callus‑like thickening. Punctate black dots representing thrombosed capillaries may be seen within the lesion, while surrounding epidermis shows white scaling and fissuring. The lesion is typically mildly elevated above the surrounding skin and may be tender with pressure; it often coexists with other warts on the same sole. The clinical impression is verruca plantaris caused by human papillomavirus infection, with characteristic epidermal hyperplasia, papillomatosis, and hyperkeratosis evident on gross inspection. Differential diagnoses include callus/corn, plantar keratoderma, and foreign body reaction; histology would show koilocytosis and viral cytopathic effects if examined. This image supports clinical decision making, differential diagnosis, and treatment planning (topical salicylic acid, cryotherapy, or laser), and serves as an educational reference for students, residents, and clinicians evaluating plantar lesions. Clinical correlation includes assessing for additional lesions and patient history of HPV exposure; follow-up imaging is not required.

This is a macroscopic clinical photograph of the plantar aspect of the foot, captured for dermatology/foot-health assessment. Imaging modality: Clinical photography; technique: high-resolution color image of the sole, direct view, with standard diffuse lighting and no magnification. Anatomical location: Plantar surface of the hindfoot and midfoot, primarily the heel region, extending to the medial plantar arch. Visual features: a red-orange to pink-tan hyperkeratotic plaque with a thick, rough surface and fissuring; surrounding hypochromic to xerotic skin; margins are relatively ill-defined but the lesion remains clearly localized to the plantar skin. The lesion appears as a diffuse keratotic patch rather than a single discrete nodule, with variable thickness across the plantar surface. Pathology (clinically): evidence of epidermal hyperplasia with thickened stratum corneum (hyperkeratosis) and surface fissures, typical of friction-induced plantar keratopathy; no signs of vesiculation, purulence, or acute inflammation evident. Diagnostic significance: characteristic of friction-related plantar hyperkeratosis or callus; differential considerations include plantar corn, plantar wart (verruca plantaris), and diffuse plantar keratoderma; correlate with symptoms and history. Clinical correlation: evaluate footwear, gait, pressure points, activity level; screen for diabetes risk; may respond to keratolytics, debridement, padding, and orthotic optimization; useful for monitoring response to therapy and for educational and research material.

Clinical photography of the plantar surface of the foot demonstrating a classic hard corn (clavus) due to repetitive pressure. The lesion is a small, well‑circumscribed, hyperkeratotic papule with a central keratin plug, surrounded by peripheral epidermal thickening (callus) on the weight‑bearing sole. The surrounding skin is erythematous to slightly inflamed under pressure. The core appears pale yellow to white and slightly translucent; the lesion projects above the adjacent skin, producing a painful sensation with direct compression. This appearance distinguishes clavus from a plantar wart or simple callus by the presence of a dense keratinized core and a more pointed cone shape toward the dermis. The lesion is typically located at pressure points near the metatarsal heads or along the distal toe margins, often due to ill‑fitting footwear or abnormal gait. Etiology is chronic friction and pressure; pathophysiology involves localized epidermal hyperplasia and keratinocyte hypertrophy. Management focuses on debulking the hyperkeratosis (paring), application of keratolytics (salicylic acid), protective footwear, and orthotic correction; addressing footwear fit reduces recurrence risk. Differential diagnoses include plantar callus, plantar wart (verruca plantaris), and foreign body granuloma. Clinically correlates with pain on palpation and history of footwear‑related irritation. This image is educational for dermatology, podiatry, primary care, and medical education in skin pathology.

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I have enough information for a thorough answer. Here is the full comparison and assessment:

Comparison: June 27 vs. August 9 (Today)

What both images show

Both photos are of the sole (plantar surface) of the same foot, focusing on a lesion near the ball of the foot/base of the toes. The visual features across both images are consistent with a plantar wart (verruca plantaris).

June 27 (circled image)

A raised, slightly reddened/flushed circular area, roughly 2-3 cm in diameter
Several tiny dark pinpoint dots scattered within the lesion - these are thrombosed (clotted) capillaries, a hallmark sign of a plantar wart
Surrounding skin lines (dermatoglyphics) appear interrupted/distorted, which is characteristic of warts and distinguishes them from calluses
The area appears somewhat inflamed or at an active/symptomatic stage

August 9 - Today

The same area now shows a smaller, more discrete, well-circumscribed bump - roughly 5-7 mm
It has a thickened outer border with a slightly depressed, darker central core
The lesion looks more consolidated and keratotic (hardened) compared to the broader, flushed appearance in June
The skin lines are still interrupted around it
Less surrounding redness - the broader flush has reduced

What has changed over ~6 weeks

Feature	June 27	August 9
Size/spread	Larger, broader reddened zone	Smaller, more focal/discrete
Appearance	Diffuse flush with multiple black dots	Compact, hardened dome with central core
Inflammation	More inflamed/red	Less surrounding inflammation
Keratosis	Less defined	More defined, thicker

The lesion appears to have matured and consolidated - the initial broader inflammatory phase has settled into a more focal, hyperkeratotic (hard-skinned) wart. This is a typical progression: early plantar warts can look red and diffuse, then develop a well-defined keratinous cap over weeks.

Most likely diagnosis: Plantar Wart (Verruca Plantaris)

Key features supporting this:

Interrupted skin lines - a key distinguishing sign from calluses/corns (which preserve skin lines)
Thrombosed capillary dots (black pinpoints) visible in the June photo
Location on the weight-bearing sole
Circular, endophytic lesion with hyperkeratotic surface

A corn (heloma durum) is the main differential, but corns typically have smooth, preserved skin lines running through them, and pain is maximal on direct downward pressure (warts hurt more on sideways pinching).

What to do

See a podiatrist or dermatologist for confirmation - a trained clinician can pare down the surface to look for the black dots beneath, which settles the diagnosis immediately
Avoid cutting or picking at it yourself, as this spreads HPV to surrounding skin
Over-the-counter salicylic acid (e.g., Bazuka gel, Wartner patches) can be applied nightly after soaking and filing - this is the standard first-line self-treatment for plantar warts
If it persists, a doctor can offer cryotherapy (freezing), Candida antigen injection (now a first-line approach for stubborn warts - [Pfenninger & Fowler's Procedures, p. 4167]), or other in-office treatments
Surgical excision on the sole is generally avoided as the resulting scar can itself be painful (like a pebble in a shoe)

Bottom line: The lesion is consistent with a plantar wart at two different stages - the June photo shows early/active inflammation, and today's photo shows it settling into a more defined, hyperkeratotic wart. It has not obviously grown larger or spread. A podiatrist visit would be worthwhile to confirm and start treatment.

Disclaimer: This is an AI-assisted visual assessment for informational purposes only - not a medical diagnosis. Please consult a healthcare professional for proper evaluation and treatment.

No when I take a bath in hot shower this fully turn white... And one small bup white arises may be right now the colour because I walk bare foot in my house no pain while sitting only pain when it gets pressed while walking

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plantar wart white maceration after water soaking

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The additional symptoms you've described actually make the picture much clearer. Here's a proper breakdown:

Your Symptoms - What They Mean

Symptom	Significance
Turns fully white in hot shower	Classic "maceration" sign - thickened keratin (dead skin) over a wart absorbs water and turns white. This happens more dramatically with warts than with normal skin because the keratin layer is abnormally thick.
Small white bump visible	The wart's core - the hyperkeratotic centre becomes very visible when wet
No pain at rest/sitting	Typical of plantar warts - they are endophytic (grow inward), so compression is needed to cause pain
Pain only when pressed/walking	Direct pressure on the wart's body is what causes the pain - exactly how plantar warts behave
No pain barefoot at rest	If it were a corn (heloma), you'd typically have more constant tenderness around it

Diagnosis: Plantar Wart (Verruca Plantaris) - High Confidence

The "turns white in water" sign is one of the most reliable clinical clues for plantar warts. When a doctor pares down a wart with a blade, they also soak it first - the white tissue with black dots underneath is almost diagnostic on its own.

The new small additional white bump appearing near the original site is also significant - plantar warts can form satellite lesions nearby, or it could be the original wart enlarging with a new growth point. This is worth watching closely.

What You Should Do (Step by Step)

At home (start now):

Soak the foot in warm water for 10-15 minutes (you're already doing this in the shower - good)
After soaking, while the skin is soft and white, gently file the top with a pumice stone or nail file - this removes dead white skin and lets treatment penetrate
Apply salicylic acid gel/liquid (available at any pharmacy - brands like Bazuka, Compound W, or Dr. Scholl's) directly on the lesion, let it dry, and cover with a plaster
Repeat every night - consistency is key; it usually takes 6-12 weeks
Do not share the pumice stone/file with others (warts are contagious via HPV)

Important DON'Ts:

Don't try to cut or dig it out - this spreads the virus into the surrounding skin
Avoid walking barefoot in shared areas (swimming pools, gym floors) to prevent spreading it to others or picking up more strains

See a doctor if:

The new satellite bump grows or more appear
No improvement after 8-10 weeks of salicylic acid
The pain worsens significantly
Any doubt about the diagnosis

A podiatrist can offer cryotherapy (liquid nitrogen freezing) which is very effective - usually 2-4 sessions, 2-3 weeks apart. This is worth pursuing if the at-home treatment isn't working after a couple of months. - Pfenninger & Fowler's Procedures for Primary Care, p. 4167.

In short: What you have is almost certainly a plantar wart that has been there since at least June 27, and a small new satellite lesion is starting to form. Treat it now before it spreads further. Start the salicylic acid routine tonight.

This is informational guidance only - not a clinical diagnosis. Please see a podiatrist or dermatologist for confirmation.

Suggest indian brand salicylic acid patchs and give instructions how to apply it and everything with mrp

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salicylic acid wart removal patches India brand MRP price 2025 2026

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Dr Scholl's Bazuka wart patch India pharmacy price plantar wart

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salicylic acid wart corn remover patches available India pharmacy 1mg netmeds price rupees

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https://www.1mg.com/otc/salactin-salicylic-lactic-acid-paint…

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https://www.1mg.com/search/all?name=salicylic+acid+wart+patc…

I have enough information to give you a solid, India-specific answer. Here's the complete guide:

Indian Products for Plantar Wart Treatment

Important note first

Dedicated salicylic acid wart patches (like the Western Dr. Scholl's plantar pads) are not widely available as standalone patches in Indian retail pharmacies. What IS easily available in India are:

Salicylic acid paints/solutions (most effective, most used in India)
Corn/callus plasters with salicylic acid (work well for plantar warts too)

Best Indian Products (Easily Available at Chemist / Online)

Option 1 - BEST CHOICE

Salactin Paint (NuLife Pharmaceuticals, India)

Contains: Salicylic Acid 16.7% + Lactic Acid 16.7%
Form: Paint/solution with applicator brush (10 ml bottle)
MRP: ~₹495-512 for 10 ml (currently ~₹495 on 1mg)
Available: 1mg, local chemists, Netmeds, PharmEasy
Rating: 4.3/5 with 928 ratings - very popular in India
This is the #1 recommended option for plantar warts in India

Option 2

Duofilm Solution (Stiefel / GSK)

Contains: Salicylic Acid 16.7% + Lactic Acid 16.7%
Form: Solution with applicator (15 ml)
MRP: ~₹180-220
Available: Most chemist shops, 1mg, Netmeds

Option 3

Carnation Corn Care Plasters / Medicated Corn Plasters (various Indian brands)

Contains: Salicylic Acid 40% in a medicated plaster/pad
Brands: Carnation, Dr. Foot, Scholl (imported, sometimes available)
MRP: ~₹80-150 for a pack of 6-9 plasters
Available: Big chemist shops, Apollo Pharmacy, MedPlus
40% SA in plaster form is stronger - good for a well-established plantar wart like yours

Option 4 (Prescription-strength, ask your chemist)

Salicylic Acid 40% Plaster (cut-to-size)

Generic medicated plaster sold at compounding pharmacies
Ask chemist for "Salicylic Acid 40% Plaster" or "Monoplus Plaster"
MRP: ~₹50-100 per strip
You cut it to the exact size of your wart

Step-by-Step Instructions (For Salactin Paint or Duofilm)

Follow this every night before bed:

Step 1 - Soak (10-15 minutes) Soak your foot in warm water. Your wart will turn white - that's perfect, the skin is softened and ready.

Step 2 - File (2-3 minutes) While the skin is still soft, gently rub the white dead skin off the wart using a pumice stone or a nail file. Remove as much of the white dead layer as you can without causing bleeding. This is the most important step - it lets the medicine penetrate deeper.

Step 3 - Dry completely Pat your foot dry. Wait 5 minutes so the skin is fully dry. Salactin/Duofilm does not work on wet skin.

Step 4 - Apply the paint Using the brush/applicator, apply one thin layer directly on the wart only. Try to avoid the surrounding healthy skin (it will cause irritation). The area is small, so a tiny drop is enough.

Step 5 - Let it dry Wait 2-3 minutes until the layer dries to form a thin film.

Step 6 - Cover it Cover with a small adhesive bandage (Band-Aid) to protect it from rubbing while walking. This also keeps the medicine in contact with the wart longer.

Repeat every night.

For Plaster/Patch Method (Corn Plasters 40% SA)

Soak and file as above (Steps 1 & 2)
Cut the plaster to the exact size of your wart (don't make it bigger - it will burn surrounding skin)
Stick it directly on the wart
Leave it on for 48 hours (change every 2 days)
When you remove it, the skin will be white/soft - file it again
Apply a fresh plaster

What to Expect

Week	What you'll see
Week 1-2	Wart turns more white/soft, skin peeling
Week 3-4	Top layer starts coming off in layers
Week 6-8	Wart shrinks, black dots disappear
Week 8-12	Wart fully gone and normal skin replaces it

Important DOs and DON'Ts

✅ DO use a dedicated pumice stone / nail file - keep it only for this foot, don't share
✅ DO protect surrounding healthy skin with petroleum jelly (Vaseline) before applying the paint
✅ DO be consistent - skipping days slows everything down
✅ DO wear footwear inside the house to reduce pressure on the wart while it heals

❌ DON'T apply on broken/bleeding skin or if the area is infected
❌ DON'T use on diabetic feet without doctor's advice
❌ DON'T apply more than one layer thinking it works faster - it just burns the skin
❌ DON'T stop early even if it looks like it's gone - complete 2 weeks after it appears healed

If No Improvement in 8 Weeks

Go to a dermatologist or podiatrist and ask for:

Cryotherapy (liquid nitrogen) - ₹500-1500 per session, usually 2-4 sessions needed
Cantharidin application (done in clinic only)
Candida antigen injection - very effective, minimal scarring

Start with Salactin Paint - it's the most accessible, affordable, and well-reviewed Indian option for exactly your situation.

This is informational guidance only. If you have diabetes or poor circulation, consult a doctor before using any salicylic acid product.

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