The Treatment of Facial Verrucae With the Pulsed Dye Laser

Vargas, Hannah; Hove, Christopher R.; DuPree, M.; Williams, Edwin F.

doi:10.1097/00005537-200209000-00007

Cited by 30 publications

(41 citation statements)

References 12 publications

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“…Two additional series of PDL for recalcitrant warts in adults and children noted clearance rates of 63% to 89% (18,19). Vargas et al (20) reported good cosmetic results for PDL treatment of 12 adults with facial warts who all had complete clearing without scarring after a maximum of three sessions.…”

Section: Phototherapies Lasermentioning

confidence: 99%

Update: Treatment of Cutaneous Viral Warts in Children

Boull¹,

Groth²

2011

Pediatric Dermatology

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Warts remain one of the most common reasons for dermatology and primary care visits, yet no definitive therapy is available. Treatment of pediatric patients adds additional challenges, as the adept provider must effectively manage parents' expectations and patients' fears. This article provides an update on research in the field of viral cutaneous wart therapies with a focus on pediatric patients. Safety issues and potential complications of therapy are also addressed.

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Section: Phototherapies Lasermentioning

confidence: 99%

Update: Treatment of Cutaneous Viral Warts in Children

Boull¹,

Groth²

2011

Pediatric Dermatology

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“…114 It produces less pain and scarring than with CO2 laser treatment and has been used for facial warts and perianal warts in children. 20,138,139 Pulse dye laser has been reported to result in complete remission in 48% to 95% of cases. 102,137,[140][141][142][143][144][145][146][147] One study found no statistically significant difference among cure rates between pulsed dye laser (66%) compared to conventional cryotherapy or cantharidin therapy (70%).…”

Section: Neodymium:yag (Nd:yag) Lasermentioning

confidence: 99%

An Armamentarium of Wart Treatments

Lipke¹

2006

Clinical Medicine & Research

287

295

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Patients and clinicians experience the frustration of cutaneous viral warts caused by infection with the human papilloma virus (HPV).Warts appear in various forms on different sites of the body and include common warts (verruca vulgaris), plane or flat warts, myrmecia, plantar warts, coalesced mosaic warts, filiform warts, periungual warts, anogenital warts (venereal or condyloma acuminata), oral warts and respiratory papillomas. Cervical infection with HPV is now known to cause cervical cancer if untreated. A review of the medical literature reveals a huge armamentarium of wart monotherapies and combination therapies. Official evidence-based guidelines exist for the treatment of warts, but very few of the reported treatments have been tested by rigorous blinded, randomized controlled trials.Therefore, official recommendations do not often include treatments with reportedly high success rates, but they should not be ignored when considering treatment options. It is the purpose of this review to provide a comprehensive overview of the wart treatment literature to expand awareness of the options available to practitioners faced with patients presenting with problematic warts. Warts of the genital tract carry a much more ominous and pernicious threat for women in particular. It has been estimated that up to 70% of sexually active women become infected during their lifetime with human papillomavirus (HPV), the infective agent that causes warts. 3-5 A causal role for HPV infections in cervical cancer has been documented beyond reasonable doubt. HPV DNA is present in virtually all cervical cancer cases worldwide, with it being detected in 99.7% of an international series of cervical cancers by genetic amplification techniques and in 100% of cases as confirmed by histological review. 6,7 Cervical cancer is the most frequent common cancer in developing countries and the second most common cancer in women worldwide. 3 The association between HPV infection and cervical cancer is so strong that HPV is now considered the first positive cause of any human cancer ever identified. 3This raises the level of concerns over HPV prevention, screening and treatment from that of a nuisance condition to that of a major public health concern. Attention is beginning to focus on the viral factors that determine persistence and neoplastic progression to cancer and the possible role of HPV in other nongenital cancers (e.g., skin, upper aerodigestive tract). [8][9][10][11][12][13][14][15][16][17] Patients with warts seek advice from general practitioners, pharmacists, naturopaths, allied health professionals, family or friends, dermatologists, gynecologists, obstetricians and pediatricians for treatment and may present with recalcitrant warts that have been previously treated with anything from folk remedies to hypnosis to over-the-counter medications to more aggressive clinic-based treatments. Unfortunately, even with years of medical literature on this subject, high-quality, level I evidence for the efficacy of almost all treatments is no...

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“…The pulsed-dye laser at 585 nm has been used successfully to treat vascular malformation of the skin [22]. This wavelength is highly absorbed by hemoglobin and poorly absorbed by other tissue, allowing selective photocoagulation of submucosal blood vessels.…”

Section: Pulsed-dye Lasermentioning

confidence: 99%