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Liu Z, Ai J, Zhu Z, Huang L, Yi Z, Wu L, Xu Y, Zhu D, Li H, Yan Y, Zhang L, Zhong X, Yang B. Chemical peeling with 35% glycolic acid for the treatment of disseminated facial verruca plana: a randomized, split-face, evaluator-blinded trial. Dermatol Ther 2022; 35:e15594. [PMID: 35617452 DOI: 10.1111/dth.15594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 05/02/2022] [Accepted: 05/20/2022] [Indexed: 11/26/2022]
Abstract
Disseminated facial verruca plana is a chronic disorder that causes significant psychological distress. However, safe and effective treatment is lacking. This study aimed to explore the efficacy and safety of 35% glycolic acid for the treatment of disseminated facial verruca plana. A split-face clinical trial was conducted to explore the efficacy and safety of using chemical peeling with 35% glycolic acid for the treatment of disseminated facial verruca plana. One side of the face was applied with 35% GA once every fortnight for a total of three times. Adapalene gel was applied every night to the other side of the face as the control. The clearance rate of lesions was evaluated at different time points. Between June 2020 and December 2020, thirty patients with disseminated verruca plana who visited the Dermatology Hospital of Southern Medical University were enrolled. After three chemical peelings with 35% glycolic acid that was applied at 2-week intervals, 15(50%) patients achieved >70% lesion reduction. The same effective rate in the adapalene gel-treated side of the face was documented in eight patients. Subgroup analysis showed a higher clearance rate in patients with a shorter disease duration. Moreover, concurrent improvements in facial roughness were observed in the 35% glycolic acid-treated group. Adverse effects including mild erythema and desquamation were observed during chemical peeling with 35% glycolic acid. In conclusion, chemical peeling with 35% glycolic acid could be a safe and effective option for treating disseminated facial verruca plana, especially for those who desire skin improvement. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Zhenfeng Liu
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Jing Ai
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | | | - Lixia Huang
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Zhen Yi
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Linshan Wu
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Yunjing Xu
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Dingheng Zhu
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Huizhong Li
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Yunling Yan
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Lichun Zhang
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Xinyi Zhong
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
| | - Bin Yang
- Dermatology Hospital, Southern Medical University, Guangzhou, Guangdong, P. R. China
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