The treatment of plantar warts using microwave-A review of 85 consecutive cases in the United States

Gupta, A. K., Wang, T., Cooper, E. A., Conenello, R. M. and Bristow, I. R. (2023) The treatment of plantar warts using microwave-A review of 85 consecutive cases in the United States. Journal of Cosmetic Dermatology, 22. pp. 2729-2736. ISSN 1473-2130

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Abstract

Background: Plantar warts (verrucae plantaris) are a common source of pain for patients and are often refractory to treatment. Previous work has shown a high clearance rate of verrucae using a surface-based microwave device (Swift®). Aims: To assess the efficacy, defined as the complete visible clearance of warts, in patients with verrucae plantaris receiving microwave treatment. Patients: We undertook a retrospective review and identified records of 85 patients who underwent a course of microwave treatment at a single US-based podiatry centre. Efficacy was analyzed on the basis on intention-to-treat. Results: In patients who received ≥1 session there was a complete clearance rate of 60.0% (51/85) (intention-to-treat; 59 patients completed treatment, 26 lost to follow-up) and 86.4% (51/59) per treatment completion; no significant differences in clearance rates of children and adults were observed (61.0% [25/41] vs. 59.1% [26/44]). There were 31 patients who received three sessions of microwave therapy with a clearance rate of 71.0% (22/31) as per intention-to-treat (27 patients completed treatment, 4 lost to follow-up). An average of 2.3 sessions (SD: 1.1; range: 1-6) was required for the complete clearance of plantar warts. Complete clearance was also observed in some patients with recalcitrant warts following additional treatment sessions (42.9% [3/7]). A significant reduction in wart related pain was reported for all patients undergoing treatment. Some patients continued to report a reduced amount of pain post-therapy compared with pretherapy. Conclusions: Microwave treatment of verrucae plantaris appears to be a safe and effective procedure.

Item Type: Article
Schools: School of Health and Rehabilitation Sciences
Depositing User: CoSector Repositories
Date Deposited: 19 Dec 2024 15:35
Last Modified: 19 Dec 2024 15:35
URI: https://hsu.repository.guildhe.ac.uk/id/eprint/471

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