ROLE OF INTRALESIONAL VITAMIN D3 IN THE TREATMENT OF CUTANEOUS WARTS
Authors/Creators
- 1. Junior Resident, Dermatology People's College of Medial Sciences & Research Centre, Bhopal, Madhya Pradesh, India
Description
Warts are the benign cutaneous manifestations caused by human papillomavirus (HPV). All currently available treatment modalities are associated with significant side effects and frequent recurrences. As intralesional vitamin D3 is a new immunotherapeutic agent in practice, we conducted this study to determine its safety and efficacy as an immunotherapeutic agent in the treatment of cutaneous warts. We conducted this study on 60 patients. The selected warts were slowly injected with 0.1-0.5 ml of Vitamin D3 (15 mg/ml) into the base of each wart with a 26-gauge insulin syringe. A maximum of 5 warts were injected per session. The injections were performed at 2 weekly intervals until complete resolution or for a total of 4 sessions. It resulted in complete clearance in 38 out of 60 patients, while moderate response was seen in 4 patients and mild response was observed in 3 patients in terms of number of warts. Fifteen patients did not demonstrate any decrease in number of warts even after 4 sittings of intralesional Vitamin D3. In terms of size of warts, moderate response was seen in 8 patients and mild response was observed in 5 patients. Nine patients did not demonstrate any reduction in size of warts even after 4 sittings of intralesional Vitamin D3. Immunotherapy with vitamin D3 seems to be a promising, effective, simple, inexpensive and safe treatment modality for the treatment of cutaneous warts. Due to low recurrence rates, it can be considered to have potential advantages of widespread and sustained effects against HPV.
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References
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