I have also had good sucess with topical 5 FU. However, it is also usually periungal lesions. I used 5% under occulsion. I have never had great sucess with it on the plantar surface.
I have also used cadida Antigen. It only works 20-30%…
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…
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.
Apr 21, 2010
Mark Horowitz is now a member of dermRounds Dermatology NetworkApr 21, 2010
