Wart removal and treatment, home remedy by Ray Sahelian, M.D.Feb 12 2014 Many natural home remedies have been proposed for wart removal. Warts tend to resolve spontaneously within a couple of years in children, whereas adults with warts almost always have them for the rest of their lives. Overthe-counter medications containing salicylic acid are often used in removing warts. Treatment A variety of treatment modalities have been described for cutaneous warts. We sought to determine the safety and efficacy of a topical formulation of cantharidin, podophyllotoxin, and salicylic acid in the treatment of plantar warts. This combination treatment is widely used in Europe and elsewhere but has not been described in the podiatric medical literature. A retrospective study was conducted of 144 patients with simple or mosaic plantar warts who were treated with a topical, pharmacy-compounded solution of cantharidin, 1%; podophyllotoxin, 5%; and salicylic acid, 30%. All of the patients, aged 8 to 52 years, were treated according to the authors' standard protocol. Of the 144 patients, 92 were being treated for the first time. None of the 52 previously treated patients had received more than one other type of treatment in the past. After 6 months of follow-up, complete eradication of the plantar warts was noted in 138 of the 144 patients (95.8%). Of these patients, 125 (86.8%) required a single application of the solution, and 13 (9.0%) needed two or more applications. No significant adverse effects or complications were observed. A topical solution of cantharidin, podophyllotoxin, and salicylic acid was found to be safe and effective in the treatment of simple and mosaic plantar warts. This formulation is a promising alternative treatment modality for plantar warts. J Am Podiatr Med Assoc. 2008 Nov-Dec. Application of cantharidin and podophyllotoxin for the treatment of plantar warts. Escuela Universitaria de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain. Palmoplantar warts are often hard to treat. They tend to relapse and the course of therapy is frustrating in many cases. The erbium:YAG laser (Er:YAG) with a wavelength of 2.94 rm is capable of achieving a rapid and precise ablation of warts, but about 14% of patients are non-responders as shown in a previous study. Podophyllotoxin is an established antimitotic agent derived from podophyllum plant resin, approved for human papilloma virus (HPV)-induced genital warts. The combination of both ablative Er:YAG laser and topical 0.5% podophyllotoxin solution in hard-to-treat were treated once by Er:YAG laser ablation with a spot size of 3 mm. Four to six treatment cycles with podophyllotoxin were performed. Spontaneous regression of genital warts has been observed mostly within 2-5 years. Hospital Dresden-Friedrichstadt. After laser treatment followed by topical podophyllotoxin cream a complete response was observed in 31 patients (88. Although easy to recognize. of varying effectiveness and with high recurrence rates. Because removal of the warts does not totally eliminate the underlying viral infection. persisting condylomata may prove refractory to all current treatment options. a frequency between 8 Hz and 10 Hz. On the other hand awareness of this sexually transmitted disease (STD) is largely associated with a great psychological and social burden. 2013.7-11. from the University of Minnesota in Minneapolis. it usually recurs within months. treatment of genital warts can often be of long duration. J Cosmet Laser Ther.Wollina U.3 J/cm2. topical podophyllotoxin 0. Anogenital warts are the most common clinical manifestation of human papillomavirus (HPV) infections. The therapy of hard-to-treat warts with a combination of Er:YAG laser and topical podophyllotoxin is safe and effective. hardly ever cures warts in adults. asymptomatic anogenital warts (condylomata acuminata) may be overlooked. Urologe A. Since duct tape is an inexpensive. Two patients with plantar warts and a complete response showed a relapse within 3 months after treatment (5. Er:YAG laser followed by topical podophyllotoxin for hard-to-treat palmoplantar warts. After wound healing. in men as well as women. Dr.6%). Therefore. Occlusion therapy for wart removal Covering up a wart with transparent duct tape or moleskin. the CR percentage seems to be higher and the percentage of relapses reduced. Without a doubt only the patient's own immune system is capable of clearing HPV infections.7%). commonly referred to as occlusion therapy. Rachel Wenner. 2003 Apr. Proven and new methods in the treatment of genital warts. however.wound infections or scarring. and her associates decided to try it on adult patients and compare the results with . Germany.5% solution was applied for 3 days followed by a break of 4 days. Dresden. Thirty-five patients with hard-totreat warts(palmar or plantar) with various pretreatments that had failed. and a fluence of 5. Even when a treated wart resolves. the solution to one of mankind's oldest health problems will depend on the future acceptability of HPV vaccines.palmoplantar HPV warts was investigated. leading to unaware transmission to the sexual partner. nontraumatic way to treat warts. Compared with laser alone.Department of Dermatology. None of the patients developed pigmentary changes. and duct tape (Scotch Transparent Duct Tape) applied to the adhesive side of moleskin for 44 patients. The wart was first pared with a scalpel blade and the pad was applied. D. but these are in fact small clusters of the wart just beneath the top layer of the skin. then soak the wart and lightly scrape it with an emery board the next morning before reapplying another pad. the wart cleared up in 21 percent in the duct tape group and 22 percent in the moleskin group. the trial included children. The wart may appear to have a root or seeds. Avoiding contact in the general environment is nearly impossible. Moist. Most had had warts for years or even decades.M. A common misconception is that plantar warts have seeds or roots that grow through the skin and can attach to the bone. About two thirds of the subjects had tried other treatments. March 2007. care should be taken to keep shower and tile floor clean. including liquid nitrogen and salicylic acid. If a member of the family has the infection.4 per person. Plantar Warts Written By: Kirk A. Children who have plantar warts should not share their shoes with other people. Small pads were cut out that would cover each patient's largest "target" wart. . They do not spread through the blood stream. of the 17 warts that disappeared. Editor. The subjects' average age was 54 years. This occurs as a result of direct contact with the virus.those achieved with moleskin occlusion. However. Their instructions were to wear a pad for 7 days. but being exposed in just the right situation will lead to the development of the wart. Dr. They occur more commonly in children than adults. they are called plantar warts.3 mm. Rachel Wenner says previous studies that reported occlusion therapy was successful in most patients. This name is derived from the location of the foot on which they are found. and the average wart diameter was 5. After 2 months. Archives of Dermatology. PodiatryNetwork. So patients wouldn't know which treatment they received. not adults. there were no significant difference between the two groups. sweaty feet can predispose to infection by the wart virus.P. 9 returned within 6 months. the bottom of the foot is called the plantar aspect of the foot. They can be picked up in showers and around swimming pools.com Description The common wart is known as verruca vulgaris. the researchers used moleskin alone (Dr. Patients were allowed to use reinforcing tape to hold the pad in place. Koepsel. Scholl's Moleskin Plus) on 46 patients. When they occur on the bottom of the foot. remove it for 1 night. The wart cannot live in any tissue except the skin. Young girls often share shoes with their friends and this should be discouraged. They are not highly contagious. the average number of warts was 1. They are caused by a viral infection of the skin. 05 gr. The risks associated with surgical removal of warts are the possibility of infection. Laser removal of the wart works by burning the wart with a laser beam. which can be painful when weight is applied while walking. Surgical excision of the wart has the highest success rate with a relatively low rate of recurrence. The area must be numbed with an anesthetic prior to the procedure. it is likely that the lesion is a wart. Callusol DESKRIPSI Asam salisilat 0.Polidocanol 0. so they do not work well in this area. This form of treatment when the warts are on the bottom of the foot can be very painful and take several days or weeks to heal. They often resemble plantar calluses. The risks associated with the use of the laser are the same as for cutting the warts out. scaly skin. Normal activity can generally be resumed in a few days depending on the size and number of warts that have been removed.kulit yang mengeras dan kutil.Diagnosis The warts have the appearance of thick. or the formation of a scar.02 gr INDIKASI Mata ikan. laser surgery or cutting them out. Professional treatment consists of burning the wart with topical acids. A new type of laser has been developed to treat several different types of skin lesions called the Pulsed Dye Laser. This new laser has promise in the effective treatment of warts. Topical acids can also be a useful means of treating warts.2 gr. A simple way to tell the difference between a wart and a callous is to squeeze the lesion between your fingers in a pinching fashion. single warts or can cluster into large areas. All methods have the possibility of the wart coming back. Treatment There are a variety of ways to treat warts. These clustered warts are called mosaic warts. The over-the-counter medications have a difficult time penetrating the thick skin on the bottom of the foot. freezing with liquid nitrogen. These risks include infection and the development of a scar after healing. A callous is generally not painful with this maneuver but is tender with direct pressure by pressing directly on the lesion. There is little advantage to removing warts with a laser unless the warts are very large (mosaic warts) or there are a large number to be removed. Other lesions on the bottom of the foot that are often confused with plantars warts are porokeratoses and inclusion cysts. There is some mild discomfort with this procedure and it takes several weeks for the area to completely heal. If this is painful. Asam laktat 0. . They can occur as small. The advantage to this form of treatment is the fact that they are nearly painless and there is no restriction of activity. Freezing the wart with liquid nitrogen is another form of treatment. kalus ( kapalan). The down side to this form of treatment is that it frequently requires several treatments and the failure rate is higher than surgical excision of the wart. furunkulosis. Ulangi pemberian Callusol/ganti kapas setiap kali habis mandi. Salticin. Sagestam krim mudah diabsorpsi pada kulit terinfeksi. INDIKASI / KEGUNAAN Indikasi Sagestam Krim adalah : Infeksi kulit primer : folikulitis superfisial. . dan Klebsiella pneumoniae.Ratakan dan biarkan mengring beberaoa menit. Garabiotic. Dermagen / Dermagen Forte. atau virus. Konigen. Genticid. impetigo kontagiosa. kemudian tutuplah dengan plester. Nichogencin. Ottogenta. alfa-hemolitik). SAGESTAM KRIM / SALEP KULIT (GENTAMICIN / GENTAMISIN) Obat Generik : Gentamicin / Gentamisin Sulfat Obat Bermerek : Balticin. Bakteri gram negatif. Tuang Callusol secukuonya pada kapas. Gentamerck. Tempelkan kapas yang telah dibasahi Callusol pada mata ikan/kutil/kapalan. CARA PEMBERIAN : Ambil kapas secukupnya disesuaikan dengan luas permukaan mata ikan/kutil/kapalan. KEMASAN Botol @ 10 ml DOSIS Satu tetes larutan dipakai padadaerah kulit yang sakit ( pagi dan malam hari ). Ikagen. suatu antibiotik spektrum luas yang efektif untuk pengobatan topikal pada infeksi kulit primer dan sekunder yang disebabkan oleh bakteri. Escherichia coli. pioderma gangrenosa. Bakteri yang sensitif terhadap krim Sagestam termasuk : Streptococci (beta-hemolitik grup A. Garapon. Garamycin. Licogenta. Sagestam. Proteus vulgaris. Staphylococcus aureus. Pseudomonas aeroginosa. Dermabiotik. KOMPOSISI / KANDUNGAN Tiap 1 gram Sagestam Krim mengandung Gentamisin Sulfat yang setara dengan 1 mg Gentamisin. Aerobacter aerogenes. Bioderm. FARMAKOLOGI (CARA KERJA OBAT) Krim Sagestam mengandung gentamisin sulfat. jamur. Krim Sagestam bersifat bakterisid dan tidak efektif terhadap bakteri anaerob. Tube. karena dapat menimbulkan resistensi. dermatitis seborheik terinfeksi. KONTRAINDIKASI Sagestam krim jangan diberikan kepada penderita yang hipersensitif terhadap gentamisin atau antibiotika aminoglikosida lainnya. Simpan di tempat kering dan sejuk. Jauhkan dari jangkauan anak-anak. KEMASAN Sagestam Krim. . Infeksi kulit sekunder : dermatitis eksimatus infeksiosa. pengobatan harus dihentikan dan diberikan pengobatan yang tepat. Oleskan krim dengan hati-hati pada kulit yang terinfeksi. KETERANGAN HARUS DENGAN RESEP DOKTER. EFEK SAMPING Efek samping Sagestam : kadang-kadang terjadi iritasi (eritema atau pruritus). dermatitis kontak. pada bagian terinfeksi dapat ditutup dengan pembalut tipis. Pada impetigo kontagiosa. Tidak dianjurkan untuk pemakaian terus-menerus baik oleh perorangan maupun di rumah sakit. 3 – 4 kali sehari. psoriasis pustular. @ 10 gram. DOSIS DAN ATURAN PAKAI Tanyakan kepada dokter anda mengenai dosis dan aturan pakai krim Sagestam. Apabila diinginkan. PERINGATAN DAN PERHATIAN Jika terjadi iritasi atau superinfeksi. akne pustularis. krusta harus dihilangkan terlebih dahulu sebelum menggunakan krim Sagestam.