Cryotherapy versus salicylic acid for plantar warts: a systematic review

Authors

  • Farpratan Pongpanich
  • Thitiphong Chaikasemsakun
  • Natchaya Boonsarn

Abstract

OBJECTIVE

To identify the efficacy of cryotherapy and salicylic acid for treating plantar warts

 

METHODS

Three independent reviewers systematically searched through electronic databases including  Cochrane library, Pubmed, Trip Database and Scopus. We also sought for additional studies using a hand searching to explore other unidentified studies on the databases to identify all relevant randomized controlled trials comparing cryotherapy to topical salicylic acid in term of clearance of plantar warts.

 

RESULTS

We identified and included two randomized controlled trials with 309 participants with plantar warts.The clearance of plantar warts at 3 months was interpreted that using cryotherapy was no statistically significant difference from using topical salicylic acid (RR 0.94; 95% CI 0.51 to 1.49, fixed-effect model, I2=0) and at 6 months (RR 1.07; 95% CI, 0.79 to 1.46, fixed-effect model, I2=0).

 

CONCLUSION

Clearance of plantar warts were not different between using cryotherapy and topical salicylic acid at 3 and 6 months.

 

References

Orth G, Favre M, Croissant O. Characterization of a new type of human papillomavirus that causes skin warts. Journal of virology. 1977;24(1):108–120.

Bruggink SC, Gussekloo J, de Koning MNC, Feltkamp MCW, Bavinck JNB, Quint WGV,et al HPV type in plantar warts influences natural course and treatment response: secondary analysis of a randomised controlled trial. J Clin Virol. July 2013;57(3):227–32.

De Villiers E-M. Heterogeneity of the human papillomavirus group. Journal of virology. 1989;63(11):4898.

Rose RC, Bonnez W, Da Rin C, McCance DJ, Reichman RC. Serological differentiation of human papillomavirus types 11, 16 and 18 using recombinant virus-like particles. Journal of general virology. 1994;75(9):2445–2449.

Whitaker JM, Palefsky JM, Da Costa M, King CM, Johnston JS, Barbosa P. Human papilloma virus type 69 identified in a clinically aggressive plantar verruca from an HIV-positive patient. J Am Podiatr Med Assoc. February 2009;99(1):8–12.

de Koning MNC, Quint KD, Bruggink SC, Gussekloo J, Bouwes Bavinck JN, Feltkamp MCW et al. High prevalence of cutaneous warts in elementary school children and the ubiquitous presence of wart-associated human papillomavirus on clinically normal skin. Br J Dermatol. January 2015;172(1):196–201.

de Haen M, Spigt MG, van Uden CJ, van Neer P, Feron FJ, Knottnerus A. Efficacy of duct tape vs placebo in the treatment of verruca vulgaris (warts) in primary school children. Archives of pediatrics & adolescent medicine. 2006;160(11):1121–1125.

Williams HC, Pottier A, Strachan D. The descriptive epidemiology of warts in British schoolchildren. British Journal of Dermatology. 1993;128(5):504–511.

Ciconte A, Campbell J, Tabrizi S, Garland S, Marks R. Warts are not merely blemishes on the skin: A study on the morbidity associated with having viral cutaneous warts. Australasian journal of dermatology. 2003;44(3):169–173.

Ciconte A, Campbell J, Tabrizi S, Garland S, Marks R. Warts are not merely blemishes on the skin: A study on the morbidity associated with having viral cutaneous warts. Australasian journal of dermatology. 2003;44(3):169–173.

Plantar Warts and Palmer Warts: Treatments and Causes [Internet]. [ 30 August 2016]. Available at:http://www.webmd.com/skin-problems-and-treatments/guide/plantar-warts-palmer-warts#1

El-Tonsy MH, Anbar TE-D, El-Domyati M, Barakat M. Density of viral particles in pre and post Nd: YAG laser hyperthermia therapy and cryotherapy in plantar warts. International journal of dermatology. 1999;38(5):393–398.

Bruggink SC, Gussekloo J, Egberts PF, Bavinck JNB, de Waal MWM, Assendelft WJJ et al. Monochloroacetic acid application is an effective alternative to cryotherapy for common and plantar warts in primary care: a randomized controlled trial. J Invest Dermatol. May 2015;135(5):1261–7.

Cengiz FP, Emiroglu N, Su O, Onsun N. Effectiveness and safety profile of 40% trichloroacetic acid and cryotherapy for plantar warts. J Dermatol. 4 April 2016;

Huo W, Gao X, Sun X, Qi R, Hong Y, Mchepange UO et al. Local Hyperthermia at 44°C for the Treatment of Plantar Warts: A Randomized, Patient‐Blinded, Placebo‐Controlled Trial. The Journal of Infectious Diseases. 15 April 2010;201(8):1169–72.

Prasad AJR. Targeted cryotherapy using disposable biopsy punches. Journal of cutaneous and aesthetic surgery. 2014;7(2):118.

El-Mohamady AE-S, Mearag I, El-Khalawany M, Elshahed A, Shokeir H, Mahmoud A. Pulsed dye laser versus Nd: YAG laser in the treatment of plantar warts: a comparative study. Lasers in medical science. 2014;29(3):1111–1116.

Hashmi F, Torgerson D, Fairhurst C, Cockayne S, Bell K, Cullen M, et al. EVerT2—needling versus non-surgical debridement for the treatment of verrucae: study protocol for a single-centre randomised controlled trial. BMJ open. 2015;5(11):e009406.

Harika C, Sankeerth V, Jagannath Kumar V. Comparative efficacy of Electrosurgery with topical 50% Trichloroacetic acid in treatment of warts. [ 30 August 2016 ]; Available at http://jphmr.com/wp-content/uploads/2015/05/2.pdf

Kollipara R, Ekhlassi E, Downing C, Guidry J, Lee M, Tyring SK. Advancements in pharmacotherapy for noncancerous manifestations of HPV. Journal of clinical medicine. 2015;4(5):832–846.

Kauvar AN, McDaniel DH, Geronemus RG. Pulsed dye laser treatment of warts. Archives of Family Medicine. 1995;4:1035–1041.

Gibbs S, Harvey I. Topical treatments for cutaneous warts (Review). 2009 [ 30 August 2016]; Available at: http://xa.yimg.com/kq/groups/13708666/1582580719/name/verrugas.pdf

Steele K, Irwin WG. Liquid nitrogen and salicylic/lactic acid paint in the treatment of cutaneous warts in general practice. JR Coll Gen Pract. 1988;38(311):256–258.

Cockayne S, Hewitt C, Hicks K, Jayakody S, Kang’ombe AR, Stamuli E et al . Cryotherapy versus salicylic acid for the treatment of plantar warts (verrucae): a randomised controlled trial. BMJ. 2011;342:d3271.

Bruggink SC, Gussekloo J, Berger MY, Zaaijer K, Assendelft WJJ, de Waal MWM et al. Cryotherapy with liquid nitrogen versus topical salicylic acid application for cutaneous warts in primary care: randomized controlled trial. CMAJ. 19 OOctober 2010;182(15):1624–30

An assessment of methods of treating viral warts by comparative treatment trials based on a standard design - BUNNEY - 1976 - British Journal of Dermatology - Wiley Online Library [Inter]. [ 7 September 2016]. Available at http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2133.1976.tb05167.x/abstract

Thomas KS, Keogh-Brown MR, Chalmers JR, Fordham RJ, Holland RC, Armstrong SJ, et al. Effectiveness and cost-effectiveness of salicylic acid and cryotherapy for cutaneous warts: an economic decision model. 2006 [ 7 September 2016]; Available at http://eprints.nottingham.ac.uk/869/1/Thomas_HTA_warts_monograph2006.pdf

Kaçar N, Taşlı L, Korkmaz S, Ergin S, Erdoğan BŞ. Cantharidin-podophylotoxin-salicylic acid versus cryotherapy in the treatment of plantar warts: a randomized prospective study. J Eur Acad Dermatol Venereol. July 2012;26(7):889–93.

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Published

2019-06-07

How to Cite

Pongpanich, F., Chaikasemsakun, T., & Boonsarn, N. (2019). Cryotherapy versus salicylic acid for plantar warts: a systematic review. The Clinical Academia, 43(2), 54–64. Retrieved from https://he02.tci-thaijo.org/index.php/theclinicalacademia/article/view/182140