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皮损内注射维生素 D 治疗病毒性疣的作用。

Role Of Intralesional Vitamin-D In Viral Wartse.

机构信息

Department of Dermatology, Pak Emirates Military Hospital, Rawalpindi, Pakistan.

Department of Medicine, Ayub Medical College, Abbottabad, Pakistan.

出版信息

J Ayub Med Coll Abbottabad. 2021 Oct-Dec;33(4):598-601.

Abstract

BACKGROUND

The study was to look for effectiveness of vitamin D-3 in cutaneous warts in comparison with cryotherapy at dermatology department of Pak Emirates Military Hospital Rawalpindi. It was a randomized control trial conducted at the Department of dermatology Pak Emirates Military Hospital Rawalpindi. Ten months, June 2019 to May 2020.

METHODS

A total of 50 patients of cutaneous warts diagnosed by consultant dermatologist were included in the study. Patients were randomized into groups by lottery method. Group A received the Intralesional vitamin D 3 while Group B received cryotherapy. Comparison was made in both the groups regarding the response as complete or partial or no resolution of the wart.

RESULTS

Out of 50 patients with cutaneous warts on any location of the body, 23 (46%) received intralesional vitamin D3 while 27 (54%) received cryotherapy as allocated treatment. Twenty-four (48%) patients were female while 26 (52%) were male. Planter warts 41 (82%) were the commonest type according to the site of warts followed by palmar 6 (12%). Application of chi-square test revealed that Vitamin D3 was statistically significantly related to complete resolution of warts as compared to cryotherapy (p-value<0.05).

CONCLUSION

Cutaneous warts were most commonly seen on the feet of the affected patients. They had a good response to both of the therapies but intralesional vitamin D3 emerged as more effective option of the two in terms of management of these cutaneous warts.

摘要

背景

本研究旨在比较皮肤科的维生素 D3 治疗与冷冻疗法治疗皮肤疣的效果。这是在拉瓦尔品第的巴基斯坦阿联酋军事医院皮肤科进行的一项随机对照试验。时间为 2019 年 6 月至 2020 年 5 月,共 10 个月。

方法

共有 50 名经顾问皮肤科医生诊断为皮肤疣的患者纳入研究。采用抽签法将患者随机分为两组。A 组接受皮损内维生素 D3 治疗,B 组接受冷冻治疗。比较两组疣的完全或部分或无缓解的反应。

结果

在身体任何部位患有皮肤疣的 50 名患者中,23 名(46%)接受皮损内维生素 D3 治疗,27 名(54%)接受冷冻治疗。24 名(48%)患者为女性,26 名(52%)为男性。根据疣的部位,足底疣(41%)是最常见的类型,其次是手掌疣(6%)。应用卡方检验表明,维生素 D3 与冷冻疗法相比,在疣完全消退方面具有统计学意义(p 值<0.05)。

结论

受影响患者的足部最常出现皮肤疣。两种疗法都有很好的反应,但皮损内维生素 D3 在治疗这些皮肤疣方面是比冷冻疗法更有效的选择。

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