Document Detail


Efficacy of pulsed-dye laser for viral warts--an internal audit.
MedLine Citation:
PMID:  12722784     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pulsed-dye laser (PDL) surgery is a recognized treatment of viral warts. Initial studies in 1993 by Tan et al achieved a 72% cure rate for 39 patients after a mean of 1.68 treatments. Since then, conflicting response rates ranging from 47-95% have been reported. The records of 44 patients, who attended the Laser Unit at St. James's Hospital between January 1999 to June 2000, were reviewed. Follow-up was conducted by telephone interview or questionnaire. Twenty-eight (64%) patients identified for the study responded. The average number of treatments was 4 (range 1-12) and mean treatment intervals were 4.9 weeks (3-10). Our results showed 64% complete clearance of all the areas treated, and 46% complete clearance of the 13 areas identified as recalcitrant. Rates for complete clearance varied with anatomic site: 73% for the face, 68% for the hands, and 40% for feet. Seventy-eight percent (7/9) of periungal warts completely cleared, and 70% (7/10) mosaic warts cleared. Twenty-five percent of the patients complained of severe pain during treatment. Post-operative complications were few, and rarely affected the patients' lifestyle. The recurrence of warts, in weeks to months following the last treatment, was reported by 36% of the patients. Seventy-nine percent of patients were satisfied with the treatment they were given. PDL may be useful in treatment of refractory warts in selected patient populations. The study identified a need to address pain control in a significant number of patients.
Authors:
C Wu; S Langan; M Kilmurray; D Lawlor; R Watson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Irish medical journal     Volume:  96     ISSN:  0332-3102     ISO Abbreviation:  Ir Med J     Publication Date:  2003 Mar 
Date Detail:
Created Date:  2003-04-30     Completed Date:  2003-05-07     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0430275     Medline TA:  Ir Med J     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  80, 82-3     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, St. James's Hospital, Dublin 8, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Erythema / etiology
Female
Humans
Laser Therapy / adverse effects,  methods*,  standards
Male
Medical Audit*
Middle Aged
Patient Satisfaction
Retrospective Studies
Treatment Outcome
Warts / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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