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皮损内注射维生素D3在治疗皮肤疣中的作用

Role of Intralesional Vitamin D3 in the Treatment of Cutaneous Warts.

作者信息

Latif Insha, Sultan Javeed, Aslam Aaqib, Hassan Iffat, Devi Reeta

机构信息

Medical Officer (Dermatologist), District Hospital Ganderbal, Kashmir, J&K, India.

Post Graduate Department of Dermatology, Venereology and Leprosy, Government Medical College (GMC), Srinagar, Jammu and Kashmir, India.

出版信息

J Cutan Aesthet Surg. 2021 Oct-Dec;14(4):404-408. doi: 10.4103/JCAS.JCAS_170_20.

Abstract

BACKGROUND

Cutaneous warts are common benign skin lesions caused by human papillomavirus. Various treatment options are available for these but immunotherapy is becoming more and more popular over the past few years. It stimulates cell-mediated immunity causing clearance of warts.

AIMS AND OBJECTIVES

The aim is to determine the role of intralesional vitamin D3 in the treatment of warts.

MATERIALS AND METHODS

Consecutive patients with verruca vulgaris attending OPD were included. Around two to three warts were injected first with 0.2 mL of lignocaine (20 mg/mL). After a few minutes, the same warts were injected with 0.2 mL (4 U) of vitamin D3 (15 mg/mL). The injections were given2 weeks apart for a maximum of six sessions, and the patient was followed up 3 months after the last injection.

RESULTS

A total of 41 patients of cutaneous warts completed the study. Complete clearance was seen in 27 (65.85%) patients, partial response was seen in 11 (26.83%) patients, and three patients (7.32%) showed no response at all. The mean number of injections required for complete response was four. Recurrence was seen in two patients (4.88%) and one patient had keloid formation at the sight of injection.

LIMITATION

This is a small sample sized study and lacks a control group.

CONCLUSION

Intralesional vitamin D3 is an effective treatment option for common warts.

摘要

背景

皮肤疣是由人乳头瘤病毒引起的常见良性皮肤病变。针对这些病变有多种治疗选择,但在过去几年中免疫疗法越来越受欢迎。它刺激细胞介导的免疫反应,从而清除疣体。

目的

确定病灶内注射维生素D3在疣治疗中的作用。

材料与方法

纳入在门诊就诊的连续性寻常疣患者。先在两到三个疣体中注射0.2 mL利多卡因(20 mg/mL)。几分钟后,在同一疣体中注射0.2 mL(4 U)维生素D3(15 mg/mL)。注射间隔2周,最多进行6次,最后一次注射后对患者随访3个月。

结果

共有41例皮肤疣患者完成研究。27例(65.85%)患者疣体完全清除,11例(26.83%)患者部分缓解,3例(7.32%)患者无反应。完全缓解所需的平均注射次数为4次。2例(4.88%)患者出现复发,1例患者在注射部位形成瘢痕疙瘩。

局限性

本研究样本量小且缺乏对照组。

结论

病灶内注射维生素D3是治疗寻常疣的有效选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bcc/8906267/ab3ee11373cf/JCAS-14-404-g001.jpg

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本文引用的文献

1
Intralesional immunotherapy for the treatment of warts: A network meta-analysis.
J Am Acad Dermatol. 2019 Apr;80(4):922-930.e4. doi: 10.1016/j.jaad.2018.07.003. Epub 2018 Jul 10.
2
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J Cutan Aesthet Surg. 2017 Apr-Jun;10(2):90-94. doi: 10.4103/JCAS.JCAS_82_16.
3
Intralesional Vitamin D Injection in the Treatment of Recalcitrant Warts: A Novel Proposition.
J Cutan Med Surg. 2017 Jul/Aug;21(4):320-324. doi: 10.1177/1203475417704180. Epub 2017 Apr 6.
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