Pulsed-dye laser versus conventional therapy in the treatment of warts: A prospective randomized trial

作者: Kristi J. Robson , Nancy M. Cunningham , Kolleen L. Kruzan , Dipa S. Patel , Clarence D. Kreiter

DOI: 10.1067/MJD.2000.106365

关键词:

摘要: Abstract Background: The clinical management of verrucae vulgaris is often challenging, and no ideal treatment currently exists. Early studies suggested that pulsed-dye laser (PDL) therapy might be highly effective in the verrucae, although more recent reports have been less optimistic. Previous retrospective or consisted a series patients treated with PDL alone. Objective: Our objective was to prospectively evaluate efficacy versus conventional liquid nitrogen cryotherapy cantharidin warts. Methods: Forty healthy adult were randomized receive either (585 nm) therapy. All enrollees also performed home Patients eligible for up 4 sessions at 1-month intervals. Warts individually counted measured time each session. Complete response defined as complete absence presence dermatoglyphics, partial 50% greater reduction wart size. Results: A total 194 warts evaluated by conclusion study. noted an average 70% 66% those group; this statistically insignificant. Partial observed 82% 87% group. Verruca responded readily than verruca plantaris both groups. mean number treatments achieve success similar Conclusion: efficacious form should considered among better established approaches warts, data from trial suggest approach probably not superior. (J Am Acad Dermatol 2000;43:275-80.)

参考文章(23)
J.T.E. Lim, C.L. Goh, Carbon dioxide laser treatment of periungual and subungual viral warts Australasian Journal of Dermatology. ,vol. 33, pp. 87- 91 ,(1992) , 10.1111/J.1440-0960.1992.TB00086.X
F.E. Anderson, Warts. Fact and fiction. Drugs. ,vol. 30, pp. 368- 375 ,(1985) , 10.2165/00003495-198530040-00005
O. T. Tan, R. M. Hurwitz, T. J. Stafford, Pulsed dye laser treatment of recalcitrant verrucae: A preliminary report Lasers in Surgery and Medicine. ,vol. 13, pp. 127- 137 ,(1993) , 10.1002/LSM.1900130120
Arielle NB Kauvar, David H McDaniel, Roy G Geronemus, Pulsed dye laser treatment of warts Archives of Family Medicine. ,vol. 4, pp. 1035- 1040 ,(1995) , 10.1001/ARCHFAMI.4.12.1035
Ertan Yilmaz, Erkan Alpsoy, Erdal Basaran, Cimetidine therapy for warts: A placebo-controlled, double-blind study☆ Journal of The American Academy of Dermatology. ,vol. 34, pp. 1005- 1007 ,(1996) , 10.1016/S0190-9622(96)90279-0
ROBERT T. BRODELL, DONALD L. BREDLE, The Treatment of Palmar and Plantar Warts Using Natural Alpha Interferon and a Needleless Injector Dermatologic Surgery. ,vol. 21, pp. 213- 218 ,(1995) , 10.1111/J.1524-4725.1995.TB00155.X
R. H. RULISON, WARTS Archives of Dermatology and Syphilology. ,vol. 46, pp. 66- 81 ,(1942) , 10.1001/ARCHDERM.1942.01500130069006
Mark W. Cobb, Human papillomavirus infection Journal of the American Academy of Dermatology. ,vol. 22, pp. 547- 566 ,(1990) , 10.1016/0190-9622(90)70073-Q