What is the differential diagnosis between a plantar wart and a foot wound?

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Differential Diagnosis for Plantar Wart vs Wound

  • Single Most Likely Diagnosis
    • Plantar wart: This is the most likely diagnosis due to the common presentation of a plantar wart as a painful, rough growth on the sole of the foot, which can be mistaken for a wound.
  • Other Likely Diagnoses
    • Traumatic wound: A wound on the sole of the foot could be due to trauma, such as a cut or abrasion, which may present similarly to a plantar wart.
    • Callus: A callus is a thickened area of skin that can develop due to repeated pressure or friction, which may be mistaken for a plantar wart.
    • Corn: A corn is a small, circular thickening of the skin that can develop due to pressure or friction, which may present similarly to a plantar wart.
  • Do Not Miss Diagnoses
    • Squamous cell carcinoma: Although rare, squamous cell carcinoma can present as a non-healing wound or a growth on the sole of the foot, making it a critical diagnosis not to miss.
    • Melanoma: Melanoma is a type of skin cancer that can present as a new or changing growth on the sole of the foot, which may be mistaken for a plantar wart or wound.
    • Infection (e.g. cellulitis, abscess): An infection of the skin or soft tissue on the sole of the foot can present as a painful, red, and swollen area, which may be mistaken for a plantar wart or wound.
  • Rare Diagnoses
    • Keratoacanthoma: A keratoacanthoma is a rare, benign growth that can develop on the skin, including the sole of the foot, which may present similarly to a plantar wart.
    • Verrucous carcinoma: Verrucous carcinoma is a rare, low-grade malignancy that can present as a growth on the sole of the foot, which may be mistaken for a plantar wart.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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