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35
"There is a significant rise in the 1145 years age group,
probably due to increased participation in physical training,
swimming, dancing, etc.
Position of Warts
"The right and left feet were equally affected. The majority
of cases had one wart only; 11 had multiple warts on one foot
and 12 multiple warts on both feet.
"Eighty per cent. of the warts occurred in the plantar
metatarsal area and anteriorily and twenty per cent. on the heels,
the large majority being situated on the pressure points. Outside
this series only one has been encountered on the protected area
afforded by the longitudinal arch.
Treatment
"The treatment was carried out entirely by Registered Medical
Auxiliary Chiropodists in the Municipal Foot Clinic.
"The standard treatment adopted in most cases was as
follows:—
(a) Swabbing the whole foot with surgical spirit.
(b) Removal of any mass of callous tissue to facilitate the
action of the acid to be applied.
(c) The area surrounding the wart was painted with Collodion
or Tine. Benzoin Co. to prevent irritation by Zinc Oxide
Plaster.
(d) The wart was localised with a stockinette cover in which
a small hole was cut, approximating the size of the wart.
(e) Chlorosal (Salicylic Acid 60%, Chloralis Hydras 5%)
was applied through the hole in the stockinette, and a
felt pad, cut so that no direct pressure resulted, was placed
over the wart.
(f) The whole dressing was then enclosed in stockinette and
secured with adhesive strapping.
"The patient was instructed to keep it dry and to return in
seven to fourteen days and have the treatment repeated. The
above procedure takes from six to eight minutes to complete for
each growth.
"On the average three treatments only are necessary, but
two subsequent visits at monthly intervals are insisted upon for
checking the results. Monochloracetic acid and silver nitrate were
occasionally used instead of Chlorosal.