الفهرس | Only 14 pages are availabe for public view |
Abstract Plantar warts are skin lesions produced by human papillomavirus (HPV) infection on the plantar side of the foot. Dermatologists face a therapeutic difficulty when it comes to warts especially the palmoplantar type. There are numerous therapy options available with varying efficacy and complication profiles. Lasers are noninvasive treatment modalities, which have Shown excellent clearance rates in earlier studies, particularly in recalcitrant and palmoplantar warts. Dermoscopy is a simple, non-invasive and rapid diagnostic tool that allows a clinician to see the structure of a wart and distinguish it from corn, calluses, or foreign substances, which aids diagnosis. The dermoscope proved as a valuable tool for monitoring treatment success and determining whether the wart requires additional therapy to avoid premature treatment cessation. This study included (30) patients with recalcitrant plantar warts. In each patient, PDL was used to treat half of the warts, while the Nd: YAG laser was used to treat the other half. Laser sessions are administered every two weeks for a total of six sessions. Patients were monitored clinically and by the use of a dermoscope. Warts were completely cleared in (20) patients (66.7٪) using the Nd:YAG laser and (19) patients (63.3٪) using the PDL, with no statistically significant difference between the two types of lasers. Our results revealed statistically significant difference between Nd:YAG and PDL as regard number of sessions. Cured lesio•ns treated by PDL needed more sessions than lesions treated by Nd: YAG laser.In terms of complications, there was no statistically significant difference between the two types of laser observed. Hemorrhagic bullae and secondary bacterial infection were the most commonly reported consequences. Pain was severe with Nd: YAG and mild with PDL during laser sessions, which was statistically significant. |