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Mukhtar M, Mukhtar N. Wet table salt and its saturated hypertonic solution for treating retinoic acid resistant plane viral warts on face. J Cutan Aesthet Surg 2024; 17:160-161. [PMID: 38800809 PMCID: PMC11126216 DOI: 10.4103/jcas.jcas_43_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2024] Open
Abstract
Plane viral warts on the face can be difficult to treat at times. Various treatment approaches for facial viral warts have had variable degrees of effectiveness. In contrast, the majority of existing treatments are more costly, painful, and difficult to manage. In approximately 15.6% of instances, retinoic acid (0.05%) is also ineffective. It is very difficult to cure warts on the face at a young age. In pyogenic granuloma, table salt (NaCl) is useful as a sclerosing agent, and its hypertonic solution (15%) is effective in prolabial mucoceles. The aim of treating viral warts is to necrose infected cells and sclerose or thrombose their feeding capillaries at the wart's base.
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Affiliation(s)
- Muhammed Mukhtar
- Mukhtar Skin Centre, Katihar Medical College Road, Katihar, India
| | - Nadia Mukhtar
- Mukhtar Skin Centre, Katihar Medical College Road, Katihar, India
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Le M, Conte S, Hsu JTS, Li MK. Energy-Based Devices for the Treatment of Cutaneous Verrucae: A Systematic Review. Dermatol Surg 2024; 50:345-353. [PMID: 38551277 DOI: 10.1097/dss.0000000000004069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/02/2024]
Abstract
BACKGROUND Warts are one of the most common benign neoplasms caused by human papillomavirus infection and often pose a therapeutic challenge. OBJECTIVE To summarize the current evidence on the safety and efficacy of laser and energy-based devices for the treatment of cutaneous verrucae. METHODS A comprehensive systematic review of the literature on laser and energy-based devices for the treatment of cutaneous verrucae was performed. RESULTS A total of 904 unique studies were identified, of which 109 were included in this review. The most commonly used lasers as a single treatment modality for verrucae included the long-pulsed Nd:Yag (n = 20) and pulsed dye (n = 18) lasers. Other modalities included the CO2 ablative laser (n = 10), photodynamic therapy (n = 11), local hyperthermia (n = 11), microwave therapy (n = 2), and nanopulse stimulation (n = 1). Other studies combined energy-based modalities with additional treatments, such as retinoids, imiquimod, and intralesional bleomycin. Overall, such devices were generally well-tolerated, with only a mild side effect profile. CONCLUSION Overall, the use of laser and energy-based devices is a safe and well-tolerated option for cutaneous verrucae that is relatively less invasive than surgical interventions. Future studies using more consistent outcome assessment tools will be valuable to help clinicians develop device-specific protocols and treatment regimens to ensure replicable and effective outcomes.
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Affiliation(s)
- Michelle Le
- Division of Dermatology, McGill University, Québec, Canada
| | - Santina Conte
- Faculty of Medicine and Health Sciences, McGill University, Québec, Canada
| | - Jeffrey T S Hsu
- Oak Dermatology, Itasca, Illinois
- Department of Dermatology, University of Illinois, Chicago, Illinois
| | - Monica K Li
- Department of Dermatology & Skin Science, University of British Columbia, Vancouver, British Columbia
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Chen X, Xu Y, Hu L, Chen A. Clinical observation and study of local hyperthermia for treating plantar warts: A pilot study with 38 patients. Front Med (Lausanne) 2023; 10:1087659. [PMID: 36778742 PMCID: PMC9909191 DOI: 10.3389/fmed.2023.1087659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 01/03/2023] [Indexed: 01/27/2023] Open
Abstract
Warts are benign lesions caused by infection of the keratinocytes by the human papillomavirus (HPV). There is still no consensus on the standard treatment for plantar warts, and the various treatments (both destructive and non-destructive) have variable efficacy with a long list of shortcomings, such as higher recurrence, pain, and scarring. Local hyperthermia was considered a safe, effective, and promising therapy in the treatment of plantar warts. After getting approval from the hospital's ethics committee, the present study was designed to assess the clinical efficacy of local hyperthermia in the treatment of plantar warts. A total of 38 patients were enrolled in the study, and all patients received a standard regimen in a 5-week schedule, with local 45°C treatment for 30 mins on days 1, 2, 3, 14, 15, 22, 29, and 36. Of the 38 patients, complete resolution of the warts was observed in 13 (34.2%), 8 (21.1%) achieved partial remission, and 17 (44.7%) revealed poor response to the treatment. Patients were followed up for at least 3 months, and there was no recurrence of lesions in the 13 clinically cured patients at the last follow-up. The findings in the current study demonstrate that local hyperthermia is a safe, effective, and promising therapy for the treatment of plantar warts.
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Abstract
Over the past decades, tremendous success in the treatment of psoriasis has been achieved using biologics, such as neutralizing antibodies against TNF/TNFR, IL-23, and IL-17A/IL-17RA. Although psoriatic skin lesions appear to resolve after treatment with these biologics, lesions often recur after therapy is discontinued or during therapy. Memory T cells residing in the skin have been considered as the major driver of psoriasis relapse. However, whether structural cells in the skin such as keratinocytes and fibroblasts are involved in the relapse of psoriasis is unknown. In this review, we outline the therapeutic rationale of biologics used in the treatment of psoriasis, summarize different clinical features of psoriasis relapse on the basis of preclinical and clinical data, and specifically discuss how memory T cells and structural cells in the skin are involved in psoriasis relapse. Finally, we discuss the future challenges in the basic or clinical research on psoriasis.
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Zhao SN, Huo W, An Q, Gao TW, Yao ZR, Zhang JZ, Zhang XJ, Gu H, Wu RN, Lu HG, Han XP, Zeng FQ, An RZ, Ma L, Chen HD, Qi RQ, Gao XH. A multi centre real world observation to evaluate the efficacy of cryotherapy versus local hyperthermia for the treatment of plane warts. Dermatol Ther 2022; 35:e15403. [PMID: 35201628 DOI: 10.1111/dth.15403] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 01/20/2022] [Accepted: 02/18/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Most plane warts are recalcitrant to treatment. Both cryotherapy and local hyperthermia have been applied to treat plane warts. However, no direct comparative study on their respective efficacy and safety has ever been performed. OBJECTIVE To assess the efficacy and safety of local hyperthermia at 43±1°C versus liquid nitrogen cryotherapy for plane warts. METHODS Sequential patients with plane warts entered the study, either receiving cryotherapy or local hyperthermia therapy at the discretion of the patients and the recommendations of consultants. Cryotherapy with liquid nitrogen was delivered in two sessions two weeks apart, while local hyperthermia was delivered on three consecutive days, plus two similar treatments 10 ± 3 days later. The temperature over the treated skin surface was set at 43±1°C for 30 mins in each session. The primary outcome was the clearance rates of the lesions 6 months after treatment. RESULTS Among the 194 participants enrolled, 183 were included in the analysis at 6 months. Local hyperthermia and cryotherapy achieved clearance rates of 35.56% (48/135) and 31.25% (15/48), respectively (p=0.724); recurrence rates of 16.67% (8/48) and 53.33% (8/15) (p=0.01); and adverse events rates of 20.74% (28/135) and 83.33% (40/48), respectively (p<0.001). Cryotherapy had a higher pain score (p<0.001) and a longer healing time (p<0.001). CONCLUSIONS Local hyperthermia at 43°C and cryotherapy had similar efficacy for plane warts. Local hyperthermia had a safer profile than cryotherapy but it required more treatment visits during a treatment course. More patients preferred local hyperthermia due to its treatment friendly nature.
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Affiliation(s)
- Sheng-Nan Zhao
- Department of Dermatology, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, China.,National and Local Joint Engineering Research Centre of Immunodermatological Theranostics, Shenyang, China.,National Engineering Research Center for Immunodermatoloigcal Theranostics, Shenyang, China
| | - Wei Huo
- Department of Dermatology, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, China.,National and Local Joint Engineering Research Centre of Immunodermatological Theranostics, Shenyang, China.,National Engineering Research Center for Immunodermatoloigcal Theranostics, Shenyang, China
| | - Qian An
- Department of Dermatology, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, China.,National and Local Joint Engineering Research Centre of Immunodermatological Theranostics, Shenyang, China.,National Engineering Research Center for Immunodermatoloigcal Theranostics, Shenyang, China
| | | | - Zhi-Rong Yao
- Shanghai Jiaotong University, Department of Dermatology, Xinhua Hospital, Shanghai, China
| | | | | | - Heng Gu
- Department of Dermatology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China
| | - Ri-Na Wu
- Inner Mongolia Medical University
| | - Hong-Guang Lu
- Affiliated Hospital of Guizhou Medical University, Dermatology, Guiyang, China
| | - Xiu-Ping Han
- Shengjing Hospital of China Medical University, Shenyang, China
| | - Fan-Qin Zeng
- Department of Dermatology, Sun Yat-sen Memorial Hospital of the Sun Yat-sen University, Guangzhou, China
| | - Rong-Zhen An
- Department of Dermatology and Venerology, Affiliated Hospital of Binzhou Medical University, Binzhou, China
| | - Lei Ma
- Department of Dermatology and Venerology, Affiliated Hospital of Binzhou Medical University, Binzhou, China
| | - Hong-Duo Chen
- Department of Dermatology, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, China.,National and Local Joint Engineering Research Centre of Immunodermatological Theranostics, Shenyang, China.,National Engineering Research Center for Immunodermatoloigcal Theranostics, Shenyang, China
| | - Rui-Qun Qi
- Department of Dermatology, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, China.,National and Local Joint Engineering Research Centre of Immunodermatological Theranostics, Shenyang, China.,National Engineering Research Center for Immunodermatoloigcal Theranostics, Shenyang, China
| | - Xing-Hua Gao
- Department of Dermatology, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, China.,National and Local Joint Engineering Research Centre of Immunodermatological Theranostics, Shenyang, China.,National Engineering Research Center for Immunodermatoloigcal Theranostics, Shenyang, China
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He CC, Sun YZ, Qi RQ. Successful treatment of perianal warts in children with local hyperthermia: A case report. Dermatol Ther 2020; 33:e13634. [PMID: 32436286 DOI: 10.1111/dth.13634] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2020] [Revised: 05/11/2020] [Accepted: 05/15/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Cong-Cong He
- Department of Dermatology, The First Hospital of China Medical University and Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, Shenyang, Liaoning, China
| | - Yu-Zhe Sun
- Department of Dermatology, Dermatology Hospital of Sourthern Medical University, Guangzhou, China
| | - Rui-Qun Qi
- Department of Dermatology, The First Hospital of China Medical University and Key Laboratory of Immunodermatology, Ministry of Health and Ministry of Education, Shenyang, Liaoning, China
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