Use of punch in the treatment of plantar warts: A study of 250 cases

Background: Plantar wart is a frustrating infection for both patients and clinicians that can significantly cause embarrassment, negative gauging by others, and vexation due to persistence and/or recurrence of warts, affecting a patient's quality of life. Materials and Methods: A prospective...

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Main Authors: Chetan C Patil, Sandeep Arora, Anuj Bhatnagar, Sunmeet Sandhu, Debdeep Mitra, Devinder Suhag
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Clinical Dermatology Review
Subjects:
Online Access:http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2023;volume=7;issue=1;spage=55;epage=57;aulast=Patil
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author Chetan C Patil
Sandeep Arora
Anuj Bhatnagar
Sunmeet Sandhu
Debdeep Mitra
Devinder Suhag
author_facet Chetan C Patil
Sandeep Arora
Anuj Bhatnagar
Sunmeet Sandhu
Debdeep Mitra
Devinder Suhag
author_sort Chetan C Patil
collection DOAJ
description Background: Plantar wart is a frustrating infection for both patients and clinicians that can significantly cause embarrassment, negative gauging by others, and vexation due to persistence and/or recurrence of warts, affecting a patient's quality of life. Materials and Methods: A prospective observational study from April 2020 to March 2021 was conducted in an Indian tertiary care center on 250 patients aged between 15 and 40 years. Punch excision of solitary to multiple plantar warts was carried out with a 5-mm punch. Results: A total of 342 plantar warts were punch excised in 250 cases with 162 males and 88 females. 214 (85%) patients had a complete cure over 10 days of treatment. Eleven (5%) patients developed local secondary bacterial infections managed with oral and topical antibiotics. Complete healing was achieved in all over 2–4 weeks without any scarring. There was no recurrence among 225 cases over the follow-up period of 3 months, while 25 (10%) were lost to follow-up. Conclusion: Use of punch excision for plantar warts is a simple, affordable, and quick outpatient department procedure, requiring no suturing even with an excision size of 5 mm. It needs minimum postprocedural care and heals without scarring. This methodology of management of plantar wart highlights it as a preferable procedure in primary care centers or resource-poor settings that requires less expertise.
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spelling doaj.art-a4a3f0d942294f8689b954cbf5606bd82023-07-21T14:34:00ZengWolters Kluwer Medknow PublicationsClinical Dermatology Review2542-551X2542-55282023-01-0171555710.4103/cdr.cdr_70_21Use of punch in the treatment of plantar warts: A study of 250 casesChetan C PatilSandeep AroraAnuj BhatnagarSunmeet SandhuDebdeep MitraDevinder SuhagBackground: Plantar wart is a frustrating infection for both patients and clinicians that can significantly cause embarrassment, negative gauging by others, and vexation due to persistence and/or recurrence of warts, affecting a patient's quality of life. Materials and Methods: A prospective observational study from April 2020 to March 2021 was conducted in an Indian tertiary care center on 250 patients aged between 15 and 40 years. Punch excision of solitary to multiple plantar warts was carried out with a 5-mm punch. Results: A total of 342 plantar warts were punch excised in 250 cases with 162 males and 88 females. 214 (85%) patients had a complete cure over 10 days of treatment. Eleven (5%) patients developed local secondary bacterial infections managed with oral and topical antibiotics. Complete healing was achieved in all over 2–4 weeks without any scarring. There was no recurrence among 225 cases over the follow-up period of 3 months, while 25 (10%) were lost to follow-up. Conclusion: Use of punch excision for plantar warts is a simple, affordable, and quick outpatient department procedure, requiring no suturing even with an excision size of 5 mm. It needs minimum postprocedural care and heals without scarring. This methodology of management of plantar wart highlights it as a preferable procedure in primary care centers or resource-poor settings that requires less expertise.http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2023;volume=7;issue=1;spage=55;epage=57;aulast=Patilexcisionplantar wartspunch
spellingShingle Chetan C Patil
Sandeep Arora
Anuj Bhatnagar
Sunmeet Sandhu
Debdeep Mitra
Devinder Suhag
Use of punch in the treatment of plantar warts: A study of 250 cases
Clinical Dermatology Review
excision
plantar warts
punch
title Use of punch in the treatment of plantar warts: A study of 250 cases
title_full Use of punch in the treatment of plantar warts: A study of 250 cases
title_fullStr Use of punch in the treatment of plantar warts: A study of 250 cases
title_full_unstemmed Use of punch in the treatment of plantar warts: A study of 250 cases
title_short Use of punch in the treatment of plantar warts: A study of 250 cases
title_sort use of punch in the treatment of plantar warts a study of 250 cases
topic excision
plantar warts
punch
url http://www.cdriadvlkn.org/article.asp?issn=2542-551X;year=2023;volume=7;issue=1;spage=55;epage=57;aulast=Patil
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