Comparison of electrosurgery by electrodessication versus cryotherapy by liquid nitrogen spray technique in the treatment of plantar warts

Singh, Sehdev; Neema, Shekhar

doi:10.1016/j.mjafi.2018.11.005

Cited by 9 publications

(8 citation statements)

References 14 publications

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“…Previous studies have reported that the most common acute adverse events during and after PDT include pain, erythema, edema, exudation, and crusting [ 30 – 32 ]. However, the main adverse reactions of cryotherapy are pain, blisters, blood blisters, infection, exudation, and edema [ 33 ]. In the present study, the mean NRS-10 pain score was higher in the PDT group than in the cryotherapy group, indicating that PDT caused more severe pain during treatment.…”

Section: Discussionmentioning

confidence: 99%

Effect of 5-Aminolevulinic Acid Photodynamic Therapy with Transfer Factor Capsules in the Treatment of Multiple Plantar Warts

Qiu

et al. 2022

BioMed Research International

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Background. Plantar warts are a common cutaneous disease of the sole of the foot caused by human papillomavirus. Photodynamic therapy has gained increasing attention in the treatment of plantar warts. Objective. To investigate the effect of photodynamic therapy combined with transfer factor capsules in the treatment of multiple plantar warts. Methods. Sixty-one patients with multiple plantar warts who visited our outpatient department from September 2017 to August 2019 were randomly divided into two groups. Twenty-three patients received photodynamic therapy (treatment group) and thirty-eight received cryotherapy (control group). Both groups also received immune modulator transfer factor capsules. Skin lesion score, numeric rating scale- (NRS-) 10 score, recurrence rate, adverse reactions, and Dermatology Life Quality Index (DLQI) were analyzed in both groups. Results. The mean skin lesion score improved from 13.39 ± 3.88 before treatment to 1.48 ± 2.50 after the last treatment in the treatment group and from 12.47 ± 2.99 before treatment to 4.47 ± 3.67 after the last treatment in the control group. The success rate after 3 months of treatment was 86.96% in the treatment group and 39.47% in the control group. After 3 months of follow-up, the recurrence rate was significantly lower in the treatment group (20%) than in the control group (53.33%). The mean DLQI score at three months after treatment was significantly lower in the treatment group ( 3.61 ± 1.16 ) than in the control group ( 6.31 ± 2.59 ). Conclusion. Photodynamic therapy combined with immunomodulators significantly increased the cure rate and reduced the recurrence rate of multiple plantar warts compared with traditional cryotherapy combined with immunomodulators.

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Section: Discussionmentioning

confidence: 99%

Effect of 5-Aminolevulinic Acid Photodynamic Therapy with Transfer Factor Capsules in the Treatment of Multiple Plantar Warts

Qiu

et al. 2022

BioMed Research International

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“…Treatment options for the plantar warts include cryotherapy, electrocautery, salicylic acid, immune therapy, minor surgery, or laser 4 . Recurrence rates for most the therapeutic options are relatively high because clinically unaffected tissue surrounding warts still harbors HPV 5 …”

Section: Discussionmentioning

confidence: 99%

“…4 Recurrence rates for most the therapeutic options are relatively high because clinically unaffected tissue surrounding warts still harbors HPV. 5 Plantar wart is considered to be recalcitrant wart when it has been clinically present for more than 6 months which is usually resistant to treatments, so that it may be useful to start treatment before wart recalcitrance. 6 Currently, in the literature, intralesional autologous PRP injection was effective and safe in the treatment of plane warts.…”

Section: Discussionmentioning

confidence: 99%

A case of resistant multiple plantar warts cured with combined autologous platelet‐rich plasma injection and topical salicylic acid 30%

El‐Hamd

Aboeldahab

2021

J of Cosmetic Dermatology

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Background Plantar warts are common benign cutaneous lesions affecting the plantar aspects of the feet; they are caused by infection of the keratinocytes by the human papillomavirus (HPV). The effective treatment of plantar warts is still a therapeutic challenge. Aim This study aimed to assess the possible clinical efficacy and safety of the combined intralesional autologous platelet‐rich plasma (PRP) injection with local application of salicylic acid 30% solution in the treatment of multiple resistant plantar warts. Method In the present case, a 54‐year‐old immunocompetent male patient presented with multiple, bilateral resistant plantar warts. Results A complete clearance of the plantar warts was observed after three sessions of intralesional autologous PRP injections with one‐month interval, combined with twice‐daily local application of salicylic acid 30% solution between sessions. No recurrence was recorded after a nine‐month follow‐up from the last session. There were no reported side effects during or after the sessions. Conclusion The combined intralesional autologous PRP injection with topical salicylic acid is an effective, economic, and safe modality of treatment for multiple resistant plantar warts.

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“…7 Likewise, similar findings of overall clearance rate (75% in electrocautery versus 73.3% in cryotherapy) was reported by Singh et al The procedural pain, late wound healing and scarring were noticed significantly more in patients treated with electrocautery than cryotherapy. 8 The rationale of carrying out this study is that only a few studies have been conducted in this region of Punjab province, Pakistan on comparison of electrocautery versus cryotherapy in the treatment warts. So, the present study was carried out to compare the efficacy of electrocautery with liquid nitrogen cryotherapy in the treatment of warts.…”

Section: Introductionmentioning

confidence: 99%

Comparison of efficacy of electrocautery vs. cryotherapy in the treatment viral warts

Anwar¹,

Rafiq²,

Salam³

2022

J Fatima Jinnah Med Univ

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Background: Warts are common cutaneous viral infections due to human papilloma virus (HPV) mostly affecting school age children and adults.1 Various therapeutic modalities are available including topical, physical, and systemic therapies. Physical therapies are considered to be effective in the management of viral warts. This study aims to compare the efficacy of electrocautery with cryotherapy in the treatment of viral warts.Patients and methods: This randomized trial was conducted in Dermatology Department of GHAQ / DHQ Teaching Hospital/SLMC, Sahiwal from October 2020 to March 2021.A total of 50 patients with clinical diagnosis of warts either sex with age ranging from 5-60 years were enrolled in the study and were divided into two equal groups. Patients excluded were those with evidence of any superadded infection and number of warts >6, having documented hypersensitivity to lignocaine or taking any treatment for warts in last month. After obtaining an informed written consent group A was treated with electrocautery and group B with liquid nitrogen cryotherapy. The patients were treated until the complete clearance of warts or maximum of eight sessions on weekly basis. Demographic and clinical data as efficacy (cleared if not palpable or visible to naked eye) was recorded on predesigned proforma and was analyzed by using chi-square test through SPSS version 25. Results: Out of total 50 patients, there were 27 (54%) male and 23 (46%) female patients, with an overall male to female ratio was 1:0.7. Most commonly observed clinical type of wart were plantar warts in 28 (56%) followed by palmar in 6 (12%). Electrocautery was found to be effective therapy in treatment of wart as indicated by complete clearance noticed in 19 (76%) patients as compared to cryotherapy in 11 (44%) participants.Conclusion: Electrocautery is more effective as compared to cryotherapy in the treatment of warts especially plantar and deep-seated. However, promising effects of cryotherapy is seen in common and multiple warts as compared to electrocautery.

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Comparison of electrosurgery by electrodessication versus cryotherapy by liquid nitrogen spray technique in the treatment of plantar warts

Cited by 9 publications

References 14 publications

Effect of 5-Aminolevulinic Acid Photodynamic Therapy with Transfer Factor Capsules in the Treatment of Multiple Plantar Warts

Effect of 5-Aminolevulinic Acid Photodynamic Therapy with Transfer Factor Capsules in the Treatment of Multiple Plantar Warts

A case of resistant multiple plantar warts cured with combined autologous platelet‐rich plasma injection and topical salicylic acid 30%

Comparison of efficacy of electrocautery vs. cryotherapy in the treatment viral warts

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