Note: In children, two-thirds of all warts disappear within 2 years both with and without specific therapy.Conclusion:Verrucae vulgares (“common warts“) do not always require mandatory treatment because of self-limitation.
1st order
- Surgical removal of the wart(s) as ultima ratio.
- Electrocoagulation
- Laser therapy
- Blunt detachment
Further notes
- Dell warts (epithelioma molluscum, epithelioma contagiosum, molluscum contagiosum): of a total of 1,879 patients, 70% were cured after the first treatment by scraping with a sharp spoon; 26% required a second curettage and 7% required a third curettage
- Plantar warts (verruca plantaris; synonyms: Plantar warts, deep plantar/foot warts, Myrmecia) – Needling (“pinpricking”) of plantar warts is no more effective than curettage.
- Ungual warts (affecting toenails or fingernails) – intralesional (” within a lesion”) treatment of ungual warts with bleomycin combined with electroporation (8 pulses per cycle, 1,000 V/cm2, 100 µs) showed significantly higher cure rates than bleomycin therapy alone (86% versus 50%).Note: The authors reported a cure rate of 50% after bleomycin monotherapy, which they explained by the fact that they performed only a single application. The literature reports cure rates averaging 71% to 94%.
