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Giornale Italiano di Dermatologia e Venereologia 2002 December;137(6):401-4

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: Italian

Treatment of recalcitrant common warts with pulsed-bye laser. Personal experience and review of the literature

Macchini V. 1, Amerio P. 1, Luci A. 2, Amerio P. 3, Puddu P. 1

1 Dipartimento di Immunodermatologia Istituto Dermopatico dell’Immacolata IRCCS di Roma, Roma 2 Dipartimento di Chirurgia Dermatologica Istituto Dermopatico dell’Immacolata IRCCS di Roma, Roma 3 Clinica Dermatologica Università Cattolica del Sacro Cuore Policlinico “A. Gemelli” di Roma, Roma


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Background. A gold standard for the treatment of common warts does not exists. The aim of the paper was to evaluate the efficacy of pulsed dye laser treatment of recalcitrant warts and to review the international literature.
Methods. Fifteen patients, referred to the service of dermatologic surgery of the Istituto Dermopatico dell’Immacolata, with common recalcitrant warts were included in the study. Patients’ lesions were treated with pulsed dye laser sessions to a maximum of 4 sessions at 3 weeks intervals. Patients were also given keratolytic home treatment. Complete response was defined as absence of wart and presence of dermatoglyphics, partial response was defined as a reduction of at least 50% in wart size.
Results. Fifteen patients were selected for a total of 105 warts; 70% of patients presented a complete response after a mean of 2,5 treatments, 30% of patients had only a partial response after 4 treatments. All patients presenting with a partial response had very large superficial warts (myrmeciae) localized on the plant of the feet.
Conclusions. Our study is in agreement with the international literature data suggesting that pulsed dye laser could be used as an effective treatment of recalcitrant warts. Differences in the effectiveness of the treatment could be due to different laser setting or different wart localizations. It is therefore necessary a careful patients’ selection and an optimization in the preparation of the lesions to obtain the best results.

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