Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case Report

Background: Verruca vulgaris is one of the most common benign skin tumor caused by human papillomavirus (HPV) type  1, 2, 3, 4, 27 and 57. HPV caused infection is often recurrent leading to frustration due to loss of time and medical expenses. Monotherapy gives a varied response, and in the case of...

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Main Authors: Nyoman Yoga Maya Pramita, Ketut Kwartantaya Winaya, I Gusti Nyoman Darmaputra
Format: Article
Language:Indonesian
Published: Department of Dermatology and Venereology, Faculty of Medicine, Universitas Airlangga 2022-03-01
Series:Berkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology)
Subjects:
Online Access:https://e-journal.unair.ac.id/BIKK/article/view/27924
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author Nyoman Yoga Maya Pramita
Ketut Kwartantaya Winaya
I Gusti Nyoman Darmaputra
author_facet Nyoman Yoga Maya Pramita
Ketut Kwartantaya Winaya
I Gusti Nyoman Darmaputra
author_sort Nyoman Yoga Maya Pramita
collection DOAJ
description Background: Verruca vulgaris is one of the most common benign skin tumor caused by human papillomavirus (HPV) type  1, 2, 3, 4, 27 and 57. HPV caused infection is often recurrent leading to frustration due to loss of time and medical expenses. Monotherapy gives a varied response, and in the case of recurrence, combination therapy can be an option. Purpose: To evaluate the cause and management of recurrent verruca vulgaris. Case: This is a case report of a 33 years-old man complaining of a recurrent wart with a rough surface on his right index finger in the past three months. Initially the patient was treated with electrosurgery, but the warts came back. The patient was a smoker. The warts disappeared after electrosurgery and two sessions of 80% trichloroacetate (TCA), and at the 4th week of observation no new lesion was reported. Discussion: Recurrence of verruca vulgaris often occurs using monotherapy, thus requires other modalities. The combination of electrocautery and 80% TCA provides good clearance with low recurrence. Conclusion: Combination treatment for recurrent warts is effective for clearing the lesion and prevent recurrence.
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spelling doaj.art-5c7456d8dde646238d1dd4ec92fe6fdc2023-11-23T06:34:48ZindDepartment of Dermatology and Venereology, Faculty of Medicine, Universitas AirlanggaBerkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology)1978-42792549-40822022-03-01341737610.20473/bikk.V34.1.2022.73-7622842Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case ReportNyoman Yoga Maya Pramita0Ketut Kwartantaya Winaya1I Gusti Nyoman Darmaputra2Department of Dermatology and Venereology, Faculty of Medical and Health Sciences Universitas Udayana/Sanglah General Hospital, DenpasarDepartment of Dermatology and Venereology, Faculty of Medical and Health Sciences Universitas Udayana/Sanglah General Hospital, DenpasarDepartment of Dermatology and Venereology, Faculty of Medical and Health Sciences Universitas Udayana/Sanglah General Hospital, DenpasarBackground: Verruca vulgaris is one of the most common benign skin tumor caused by human papillomavirus (HPV) type  1, 2, 3, 4, 27 and 57. HPV caused infection is often recurrent leading to frustration due to loss of time and medical expenses. Monotherapy gives a varied response, and in the case of recurrence, combination therapy can be an option. Purpose: To evaluate the cause and management of recurrent verruca vulgaris. Case: This is a case report of a 33 years-old man complaining of a recurrent wart with a rough surface on his right index finger in the past three months. Initially the patient was treated with electrosurgery, but the warts came back. The patient was a smoker. The warts disappeared after electrosurgery and two sessions of 80% trichloroacetate (TCA), and at the 4th week of observation no new lesion was reported. Discussion: Recurrence of verruca vulgaris often occurs using monotherapy, thus requires other modalities. The combination of electrocautery and 80% TCA provides good clearance with low recurrence. Conclusion: Combination treatment for recurrent warts is effective for clearing the lesion and prevent recurrence.https://e-journal.unair.ac.id/BIKK/article/view/27924verruca vulgarisrecurrencetrichloroacetateelectrosurgery
spellingShingle Nyoman Yoga Maya Pramita
Ketut Kwartantaya Winaya
I Gusti Nyoman Darmaputra
Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case Report
Berkala Ilmu Kesehatan Kulit dan Kelamin (Periodical of Dermatology and Venerology)
verruca vulgaris
recurrence
trichloroacetate
electrosurgery
title Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case Report
title_full Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case Report
title_fullStr Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case Report
title_full_unstemmed Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case Report
title_short Recurrent Verruca Vulgaris Treated with Combination of 80% Trichloroacetate and Electrosurgery: a Case Report
title_sort recurrent verruca vulgaris treated with combination of 80 trichloroacetate and electrosurgery a case report
topic verruca vulgaris
recurrence
trichloroacetate
electrosurgery
url https://e-journal.unair.ac.id/BIKK/article/view/27924
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