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Warts

It might just be easier to send man to the moon than to treat or cure warts.

But here are some strategies

1. Do nothing
2. Salicylic acid
3. Cryotherapy every 2-3 weeks until clearance ( six treatments maximum)
4. Curettage and cautery
5. Aldara - imiquimod - off licence
6. Duct tape
7. Ablative laser
8. Efudix [5-fluorouracil cream]
5fu (unlicensed) - "chemotherapy" Salk RS et al. Topical 5% 5-Fluorouracil cream in the treatment of plantar warts: a prospective, randomized, and controlled clinical study. J Drugs in Dermatology 2006; 5(5): 317-23

161 patients screened
20 5fu under tape occlusion
19/20 =95% resolved within 12 weeks
Ave time to cure 9 weeks
3/20 recurrence at 6 mo
Safe efficacious - mild to moderate ulceration with mild maceration & erythema
Ave no of warts - 2.9
5fu bd 12 w

Check out the Cochrane review on warts- the evidence for one wart treatment being better than another.

2014 guidelines









 

 
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