Azadeh Goodarzi; Mahsa Farshidzadeh; Masoumeh Roohaninasab; Najmolsadat Atefi; Elham Behrangi
Abstract
Background: The use of vitamin D and its analogues in the treatment of warts has been to be effective and painless without any considerable side effects, unlike some other routine safe and effective therapeutic modalities such as cryotherapy that in some cases is really difficult ...
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Background: The use of vitamin D and its analogues in the treatment of warts has been to be effective and painless without any considerable side effects, unlike some other routine safe and effective therapeutic modalities such as cryotherapy that in some cases is really difficult to perform due to related pain, especially in the children. Owing to a probable relationship between the deficiency of serum vitamin D and warts, this research aimed to find the association between level of serum vitamin D and warts. Methods: This case-control study was conducted on 56 subjects in Rasoul Akram Hospital, Tehran, Iran, for 18 months. The subjects were randomly divided into case and control groups, including 28 age and sex-matched subjects in each of them. The required data were extracted through a questionnaire. Finally, the data were analyzed in the SPSS software V.22 using tests such as Mann-Whitney and Pearson correlation. Results: In this study, 56 people were examined, and 28 subjects were included in both case and control groups. The mean serum level of vitamin D in both case and control groups was 23.564and 31.593, respectively. The association between serum levels of vitamin D in the group with and without wart was not significant in both men and female groups. Serum vitamin D levels were compared in two groups of under 18 years old and between 18 and 50 years old, which were not statistically significant. Conclusion: According to our results, there is no significant relationship between serum vitamin D levels and existence of warts. This relationship is not statistically significant at the level of age and sex variables, and there is no difference in age and gender between the case and control groups.
Farhad Handjani; Nasrin Saki; Sona Zandi; Mohammad Sadegh Sayyafan; Bahareh Kardeh; Yasaman Emami; Alireza Heiran
Volume 19, Issue 1 , 2016, , Pages 14-5
Abstract
Background: Wart is a common skin disease that can occur at any age. While they are usually benign and self-limited, they can become irritating and cosmetically disabling to patients. The objective of this study is to compare the effectiveness of a topical 85% formic acid preparation with a combination ...
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Background: Wart is a common skin disease that can occur at any age. While they are usually benign and self-limited, they can become irritating and cosmetically disabling to patients. The objective of this study is to compare the effectiveness of a topical 85% formic acid preparation with a combination of topical salicylic acid and lactic acid.Methods: We enrolled 66 patients, 7-60 years of age, in this triple-blind study. Patients were randomly divided into 2 groups: group 1 received a topical 85% formic acid solution and group 2 received DuoFilm (topical 16.7% salicylic acid + 16.7% lactic acid). The duration of treatment was a maximum of 4 weeks and we followed the patients every two weeks.Results: In group 1, 74.1% of the warts completely healed and 3.5% partially healed. In group 2 complete healing occurred in 40.8% and partial healing in 26.8% of the warts (P<0.001). Statistical analysis showed a significant difference in the favor of formic acid on the hands (P<0.001) but we did not observe a better effect for the feet. The time to complete healing was less for the majority of patients in the formic acid group (1 week versus 4 weeks). There were minimal adverse effects in each group, none that necessitated cessation of treatment.Conclusion: Topical formic acid had a higher cure rate for warts compared with a conventional preparation that consisted of both topical salicylic acid and lactic acid. This effect was particularly noted on the hands. This topical remedy could be regarded as an alternative to conventional treatments in the management of warts.
Soori Tahereh; Esmaeili Nafiseh; Najmeh Rajabi; Amir Houshang Ehsani
Volume 18, Issue 2 , 2015, , Pages 56-60
Abstract
Background and Objective: Genital warts, the most common sexually transmitted disease (STD), are caused by human papillomavirus (HPV). Few studies have been performed on Iranian women with genital warts or cervix cancer but there isno documented data about genital warts and HPV genotyping in Iranian ...
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Background and Objective: Genital warts, the most common sexually transmitted disease (STD), are caused by human papillomavirus (HPV). Few studies have been performed on Iranian women with genital warts or cervix cancer but there isno documented data about genital warts and HPV genotyping in Iranian men. In this study, we determined HPV genotypesin 108 male and females with anogenital warts in an STD clinic in Tehran.Methods: In this cross sectional study, HPV genotypes were determined by the PCR method in 108 males and females withanogenital warts who were visited at an STD clinic in Tehran within January–June 2012. Age, sex, number of sexual partners,education level, and marital status were recorded in the questionnaires.Results: We determined HPV genotypes in 108 patients including 36 men and 72 women. The mean age of the patients was 31.5±12.3 years. The most common type was type 6 (62%). Other common genotypes were 11 (28.7%), 18 (15.7%), 16 (14.8%), 31 (4.6%), 33 (0.9%), 51 (0.9%), 56 (0.9%), and 66 (0.09%). We found that genotypes 16 (P=0.003) and 31 (P=0.013) were more prevalent in the patients with a higher number of sexual partners. In addition, there was a statistically significant association between the number of sexual partners and multi type HPV infection (P=0.045). Genotypes 16 (P=0.036) and 11 (P=0.039) were significantly associated with the female gender.Conclusion: Our results showed that HPV 6 was the most prevalent HPV type followed by HPV 11, 18, and 16.
Farnaghi Farshad; Seirafi Hassan; Ehsani Amirhooshang; Tork Ali Naser; Yazdanian Shideh; Zarrin-nejad Neda
Volume 10, Issue 2 , 2007, , Pages 94-99
Abstract
Background and aim: Treatment of resistant warts is a common clinical problem. Immunotherapy with diphenyl cyclopropenone (DCP) as a contact sensitizer has been reported. The objective of this study was to evaluate the efficacy of DCP in refractory warts.Materials and methods: Nineteen patients with ...
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Background and aim: Treatment of resistant warts is a common clinical problem. Immunotherapy with diphenyl cyclopropenone (DCP) as a contact sensitizer has been reported. The objective of this study was to evaluate the efficacy of DCP in refractory warts.Materials and methods: Nineteen patients with refractory warts referred to Razi Hospital in 2004 who had not responded to at least 2 treatment modalities, were sensitized with 2% DCP in acetone.Then treatment was started with application of 1% DCP on plantar warts and 0.2% on other locations.Results: Two patients were not sensitized even after 3 attempts. Three other patients discontinuedtreatment due to side effects (severe eczema and pruritus). Six male and 8 female patients completed the trial, among them,10 (71.5%) showed complete clearance of warts. Side effects reported were: local pruritus (21%), distant eczema (10.5%), local blister (26.3%). The patients received a mean of 5 treatment sessions.Conclusion: Topical immunotherapy with DCP is an effective treatment for refractory warts. Due to high efficacy, no scarring, and being a painless procedure it can be considered as a first line treatment of refractory warts.
Mostafa Mirshams Shahshahani; Nafiseh Esmaili; Pedram Mehryan; Amir Houshang Ehsani; Siavash Toosi
Volume 10, Issue 1 , 2007, , Pages 2-8
Abstract
Background and aim : The clinical management of verrucae vulgaris is often challenging and no treatment is always effective. Early studies have suggested that pulsed-dye laser (PDL) may be highly effective in the treatment of verrucae through obliteration of dilated vessels in papillary dermis. The objective ...
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Background and aim : The clinical management of verrucae vulgaris is often challenging and no treatment is always effective. Early studies have suggested that pulsed-dye laser (PDL) may be highly effective in the treatment of verrucae through obliteration of dilated vessels in papillary dermis. The objective of this study was to compare safety and efficacy of 585 nm with 595 nm PDL in the treatment of warts.Materials and methods: The randomized controlled trial was done on forty patients with warts referred to Razi Hospital in Tehran. Almost symmetrically distributed warts were randomized to receive PDL 585 nm or 595 nm on their left or right side and a similar lesion with respect to size, thickness and location was not treated as control. Each patient was treated in three sessions at three- week intervals. Warts were individually examined at the time of each treatment session and their size and adverse effects of treatment recorded. Complete response was defined as complete disappearance of lesions.Results: Thirty-six patients completed the trial. The mean size of the lesions before the treatment were 19.7±13.2 mm2 in PDL 585 nm group and 21.7±15.4 mm2 in PDL 595 nm group. After the last treatment the mean reduction in size of warts were 18.1±12.3 mm2 and 18.1±11.2 mm2 and the lesions cleared in 27 (75%) and 25 (69%) patients in PDL 585 nm and PDL595 nm groups, respectively (P value =0.83). Variable degrees of purpura and pain were observed in all patients which was classified as severe in 15 and 16 cases in PDL 585 nm group and 19 and 18 cases in PDL 595 nm group, respectively (P=0.8).Conclusion: The PDL is an effective treatment for verrucae vulgaris and there are no statistically significant differences between 585 nm and 595 nm with respect of their efficacy and adverse effects.
Edalatkhah Hassan; Khalilollahi S. Hojat; Sani Nayyereh Amini; Taher Athar
Volume 9, Issue 4 , 2006, , Pages 313-318
Abstract
Background and aim: Warts are the most common clinical presentation of human papilloma virus infection of human skin and mucosa. They are more common on hand, foot, face and genital area. They are benign skin colour lesions with different clinical forms. There is no specific treatment for them. In this ...
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Background and aim: Warts are the most common clinical presentation of human papilloma virus infection of human skin and mucosa. They are more common on hand, foot, face and genital area. They are benign skin colour lesions with different clinical forms. There is no specific treatment for them. In this trial the therapeutic effect of intralesional injection of bleomycin and cryotherapy on common warts of hands and feet was compared.Materials and Methods: Fifty-two subjects entered the study but 44 patients completed the trial. Warts were treated by intralesional injection of bleomycin 0.5 mg/ml or liquid nitrogen on symmetric aspects of both hands and feet. We used cryo-spray gun for application of liquid nitrogen. Treatment was repeated every 2 weeks for a maximum of three times. Treatment was done by a dermatologist and treatment response was evaluated by another dermatologist. Collected data were analyzed by SPSS software.Results: In this trial 23 female and 21 male patients were studied. Totally, 253 warts were treated by cryotherapy and 226 warts by intralesional bleomycin. Cure rate was 73.1% for cryotherapy and 87.6% for intralesional bleomycin (P<0.001).Conclusion: Cure rate for intralesional bleomycin was higher than cryotherapy. Intrelesional bleomycin therapy is an effective and safe treatment for common warts.
MJ Nazemi; SN Emadi; S Toosi
Volume 8, suppl , 2004, , Pages 5-10
Abstract
Cyclosporin and azathioprine are immunosuppressive drugs, used widely in kidney transplant patients. A significant association between immunosuppressive therapy and multiple warts was described several years ago. There are also some reports of sebaceous gland hyperplasia in kidney transplant patients ...
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Cyclosporin and azathioprine are immunosuppressive drugs, used widely in kidney transplant patients. A significant association between immunosuppressive therapy and multiple warts was described several years ago. There are also some reports of sebaceous gland hyperplasia in kidney transplant patients receiving cyclosporin. We report herein a 57-year-old woman who developed multiple warts on her hands and feet, lower lid syringomas, sebaceous gland hyperplasia of forehead and multiple mucosal irritation fibromas on tongue after kidney transplantation and a long course of treatment with oral cyclosporin, azathioprine and prednisolone since 6 years ago.
M Valikhani; AR Zaker; M Zaker
Volume 5, Issue 4 , 2002, , Pages 16-19
Abstract
Background: Common wart is one of the most prevalent skin diseases, caused by human papilloma virus. Numerous therapeutic modalities have been used in the treatment of warts. Objectives: This study was designed to evaluate and compare the efficacy of 5% 5-fluorouracil (5-FU) ointment with cryotherapy ...
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Background: Common wart is one of the most prevalent skin diseases, caused by human papilloma virus. Numerous therapeutic modalities have been used in the treatment of warts. Objectives: This study was designed to evaluate and compare the efficacy of 5% 5-fluorouracil (5-FU) ointment with cryotherapy in the treatment of common warts of hands. Patients and Methods: In a single blind, prospective clinical trial, 30 patients with bilateral common warts of hands referred to Dermatology Clinic of Razi Hospital, were recruited. The lesions on one hand of the patients were treated by cryosurgery and on the other hand with 5% 5-FU ointment twice daily for about 12 weeks. Results: After 12 weeks, 93% of patients treated by cryotherapy (The mean treatment period 7.5 weeks), and 66.7% of patients received 5% 5-FU ointment (The mean treatment period 6.9 weeks) were completely cured. No significant side effects were noted in patients who received 5% 5-FU ointment. Conclusion: 5% 5-FU ointment can be used as appropriate, household and inexpensive treatment in the management of common warts.
F Iraji; A Kiani; Sh Shahidi; R Vahabi
Volume 4, Issue 4 , 2001, , Pages 29-33
Abstract
Background: Warts are common in renal allograft recipients (RAR) with reported incidence of 24% to 100%. These patients also demonstrate an accelerated malignant transformation of warts. Although in immunocompetent patients, the histology of common warts is quite predictable, this is not so in RAR. Objective: ...
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Background: Warts are common in renal allograft recipients (RAR) with reported incidence of 24% to 100%. These patients also demonstrate an accelerated malignant transformation of warts. Although in immunocompetent patients, the histology of common warts is quite predictable, this is not so in RAR. Objective: The purpose of this study was to evaluate the histopathologic findings of warty lesions in RAR. Patients and Methods: We examined 55 RARs for warty lesions. We took biopsy specimens from lesions that clinically appeared to be common warts and evaluated their histopathologic features. Results: Among 55 RARs, 17 cases (30.9%) had warty lesions, and among 50 biopsied lesions, 47 lesions (94%) showed changes of verruca vulgaris and only 3 Lesions (6%) showed warts with dysplasia. No malignant transformation was reported. All patients were under treatment with prednisolone, cyclosporin and azathioprine. The median time passed from transplantation was 49 months. Conclusion: We couldn’t find evidence of dysplasia or malignancy in most verrucous lesions of RAR. This maybe due to relatively short time passed from transplantation in our patients.
H Ansarin
Volume 1, Issue 1 , 1997, , Pages 5-9
Abstract
Warts are among the most common skin diseases especially in children between the ages of 12-16 years. Usually plantar and periungual lesions are resistant to traditional treatments and cause a lot of trouble for patients. The aim of this study was to evaluate therapeutic effects of intralesional Bleomycin ...
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Warts are among the most common skin diseases especially in children between the ages of 12-16 years. Usually plantar and periungual lesions are resistant to traditional treatments and cause a lot of trouble for patients. The aim of this study was to evaluate therapeutic effects of intralesional Bleomycin injection. This study was performed on 38 cases of recalcitrant warts. All the lesions disappeared by one or two injections during 1-2 months. After one-year follow-up, recurrence was observed in two cases.
