A study of homologous autoimplantation therapy for multiple warts | [Journal of Pakistan Association of Dermatologists • 2020]

Author(s):

1. Chandramohan Kudligi: Department of Dermatology, Venereology and Leprology, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

2. Sanjay Thejaswi Ramachandra: Department of Dermatology, Venereology and Leprology, The Oxford Medical College Hospital and Research Centre, India

3. Vidya Kuntoji: Department of Dermatology, Venereology and Leprology, Cutus Academy of Cutaneous Sciences Aesthetic Dermatology, India

4. Mary Zothanpuii Chhangte: Department of Dermatology, Venereology and Leprology, North Eastern Indira Ghandi Regional Institute of Medical Sciences, India

5. Keyur Mohanbhai Chovatiya: Department of Dermatology, Venereology and Leprology, New Look Skin and Cosmetic Clinic, India

6. Niya Khat: Department of Dermatology, Venereology and Leprology, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

7. Pradeep Vittal Bhagwat: Department of Dermatology, Venereology and Leprology, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

8. Ravi Munasingh Rathod: Department of Dermatology, Venereology and Leprology, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India

Abstract:

Background Most of the available treatment modalities of warts are destructive procedures like chemical cautery, lasers, and radiofrequency ablation which are not only painful but also lead to scarring which are cosmetically unacceptable especially if the warts are multiple. Hence there is a need for simple, safe and effective treatment modality for multiple warts. Objective To evaluate the efficacy of homologous autoimplantation therapy for multiple warts. Methods A total of 46 patients with multiple warts (>5) were enrolled. A well-developed wart was chosen as a donor and under strict aseptic precautions and local anaesthesia full depth wart tissue was removed. A small subcutaneous pocket was made at the flexor aspect of the non-dominant forearm. The harvested tissue was gently introduced into the subcutaneous pocket. Patients were followed up monthly for 3 months. Photographic evidences were taken at each visit to have an objective comparison. Results Out of 46 patients, 23(50%) patients had complete resolution, 6(13.04%) patients had partial resolution, 4(8.69%) patients had no improvement after 3 months of auto implantation procedure and 13(28.26%) patients were lost to follow-up. Conclusion Auto implantation of wart is a safe, simple and efficacious procedure for the treatment of multiple warts. Our study was limited by a smaller sample size and lacked control subjects to assess spontaneous resolution of warts. Hence there is a need of a larger and a randomized doubleblind study.

Page(s): 604-607

DOI: DOI not available

Published: Journal: Journal of Pakistan Association of Dermatologists, Volume: 30, Issue: 4, Year: 2020

Keywords:

Multiple warts , autoimplantation

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