Clinical, Cosmetic and Investigational Dermatology (Apr 2023)
Successful Treatment of Multiple Plantar and Periungual Warts by Local Hyperthermia Treatment: A Case Report
Abstract
Jian Wang, Ningning Shen, Huiliang Shen Department of Dermatology, Zhejiang Provincial Institute for Dermatoses Prevention and Cure, Huzhou City, Zhejiang Province, 313200, People’s Republic of ChinaCorrespondence: Huiliang Shen, Department of Dermatology, Zhejiang Provincial Institute for Dermatoses Prevention and Cure, No. 61, Wuyuan Street, Wukang Town, Deqing County, Huzhou City, Zhejiang Province, 313200, People’s Republic of China, Email [email protected]: Local hyperthermia treatment, a common immunoadjuvant therapy, has been used in treating various human papillomavirus (HPV) infections. For multiple warts, it can clear off all warts of the body through targeted irradiation on one wart. We reported a case of a 22-year-old patient with multiple plantar warts combined with periungual warts, in which previous treatments were ineffective. Therefore, we utilized local hyperthermia treatment at 44°C using the largest fused-wart plaque on the right plantar as the treatment target for 30-minute irradiation each time. The hyperthermia induction therapy was performed on day 1, 2, 3, 12 and 13, followed by weekly maintenance therapy for 6 times. After 2 months of treatment, both irradiated and non-irradiated lesions disappeared, and no recurrence occurred during the follow-up period. This case indicates that local hyperthermia treatment may be a safe and effective approach for patients with multiple, recalcitrant, and site-specific viral warts due to the ineffectiveness of conventional treatment.Keywords: local hyperthermia treatment, multiple, plantar warts, periungual warts
