Connecting Dermatologists and Dermatology Professionals

Plantar warts

Dear friends,

Do you have a magic solution for treatment of plantar warts? I have a petient which i try to manage for one year.. we did electrocauterisation, cryotherapy and aldara.. but they are still becoming larger and even new lesions are appearing..
What else can i do?
Thanks for your contribution!
BW

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Permalink Reply by Mark Horowitz on April 21, 2010 at 3:48pm: i have used bleo with great success. if you want to go with a less invasive option, either mediplast (40% sal acid plaster) under 24 hour occlusion, with frequent paring of the lesion, or Lazer formaldehyde, which is 10% formaldehyde soln.; ▶ Reply to This

Permalink Reply by Emek Kocatürk on April 22, 2010 at 8:05am: Thanks a lot for your reply. How do you use bleomycin?; ▶ Reply to This

Permalink Reply by Mark Horowitz on April 22, 2010 at 10:46am: I mix bleo 1cc per unit of bleo. (if bleo comes in a 15 u vial, i add 15 cc)
i inject into the body of the wart using a 1cc lure lock syringe with a 30g needle. i usually only inject about 0.1cc.
you must tell the pt that a hemorrhagic bulle may develop and there may be some discomfort. i discourage any debridment during the healing phase.
sometime a second treatment may be nec. depending on how large the wart is.; ▶ Reply to This