The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysis

Background Molluscum contagiosum (MC) is a self-limited cutaneous viral infection. Topical 10% potassium hydroxide (KOH) has been used for treating MC. However, it remains unclear whether it is beneficial or not to apply topical 10% KOH for treating MC. Methods To confirm the efficacy and safety of...

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Main Authors: Jae Young Heo, Tae Heum Park, Woo Il Kim
Format: Article
Language:English
Published: Taylor & Francis Group 2022-04-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2021.1898527
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author Jae Young Heo
Tae Heum Park
Woo Il Kim
author_facet Jae Young Heo
Tae Heum Park
Woo Il Kim
author_sort Jae Young Heo
collection DOAJ
description Background Molluscum contagiosum (MC) is a self-limited cutaneous viral infection. Topical 10% potassium hydroxide (KOH) has been used for treating MC. However, it remains unclear whether it is beneficial or not to apply topical 10% KOH for treating MC. Methods To confirm the efficacy and safety of topical 10% KOH compared with placebo as well as other treatments for MC, meta-analysis was used. Up to September 2020, we performed a comprehensive search of literature based on three databases with following keywords including ‘molluscum contagiosum’ and ‘potassium hydroxide’. Results Our meta-analyses demonstrated a significant difference between topical 10% KOH and placebo for complete clearance of MC (RR: 2.96, 95% CI: 1.69 − 5.17, p = .0001), while there were no statistical differences between them in the number of patients with adverse events (RR: 1.73, 95% CI: 0.67 − 4.45, p = .2562). Also, topical 10% KOH was as effective as mechanical treatments for MC (RR: 0.95, 95% CI: 0.84 − 1.07, p = .3833). Conclusion We demonstrate that application of topical 10% KOH may be one of effective and appropriate methods for the treatment of MC compared with awaiting spontaneous resolution due to its safety and effectiveness.
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spelling doaj.art-447d62f118564fedbfd2571ec5945b352023-09-15T14:28:50ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532022-04-013331682169010.1080/09546634.2021.18985271898527The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysisJae Young Heo0Tae Heum Park1Woo Il Kim2Department of Dermatology, Soonchunhyang University HospitalDepartment of Dermatology, Soonchunhyang University HospitalDepartment of Dermatology, Soonchunhyang University HospitalBackground Molluscum contagiosum (MC) is a self-limited cutaneous viral infection. Topical 10% potassium hydroxide (KOH) has been used for treating MC. However, it remains unclear whether it is beneficial or not to apply topical 10% KOH for treating MC. Methods To confirm the efficacy and safety of topical 10% KOH compared with placebo as well as other treatments for MC, meta-analysis was used. Up to September 2020, we performed a comprehensive search of literature based on three databases with following keywords including ‘molluscum contagiosum’ and ‘potassium hydroxide’. Results Our meta-analyses demonstrated a significant difference between topical 10% KOH and placebo for complete clearance of MC (RR: 2.96, 95% CI: 1.69 − 5.17, p = .0001), while there were no statistical differences between them in the number of patients with adverse events (RR: 1.73, 95% CI: 0.67 − 4.45, p = .2562). Also, topical 10% KOH was as effective as mechanical treatments for MC (RR: 0.95, 95% CI: 0.84 − 1.07, p = .3833). Conclusion We demonstrate that application of topical 10% KOH may be one of effective and appropriate methods for the treatment of MC compared with awaiting spontaneous resolution due to its safety and effectiveness.http://dx.doi.org/10.1080/09546634.2021.1898527molluscum contagiosumpotassium hydroxideplacebo
spellingShingle Jae Young Heo
Tae Heum Park
Woo Il Kim
The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysis
Journal of Dermatological Treatment
molluscum contagiosum
potassium hydroxide
placebo
title The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysis
title_full The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysis
title_fullStr The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysis
title_full_unstemmed The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysis
title_short The efficacy and safety of topical 10% potassium hydroxide for molluscum contagiosum: a systematic review and meta-analysis
title_sort efficacy and safety of topical 10 potassium hydroxide for molluscum contagiosum a systematic review and meta analysis
topic molluscum contagiosum
potassium hydroxide
placebo
url http://dx.doi.org/10.1080/09546634.2021.1898527
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