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Comparison of clinical efficacy and safety of thermotherapy versus cryotherapy in treatment of skin warts: A randomized controlled trial.

Abstract
The effect of thermotherapy in the treatment of skin warts in comparison to cryotherapy, as the standard conventional method, has remained uncertain. This study aimed to assess the clinical efficacy and safety of thermotherapy and cryotherapy in removing skin warts. This randomized controlled trial was conducted on 52 patients aged 18 years and over with ≤ 10 skin warts. The participants were randomly assigned into two groups to receive cryotherapy (every 2 to 3 weeks up to six sessions if required) or thermotherapy (one session). The patients in both groups were followed every 2 to 3 weeks for the first three months, and then three months after the last treatment session. The clearance rate was 79.2% in the thermotherapy group and 58.3% in the cryotherapy group with no significant difference (p = 0.212). The rate of scarring in the thermotherapy group was 20% (p = .018). A higher clearance rate was achieved in the thermotherapy group. However, this result was not statistically significant. There were some minimal post-treatment complications. Patients needed only one session of thermotherapy. Due to the risk of scarring, we suggest thermotherapy only as a suitable treatment method for palmoplantar warts.
AuthorsLeila Izadi Firouzabadi, Ali Khamesipour, Narges Ghandi, Hamed Hosseini, Amir Teymourpour, Alireza Firooz
JournalDermatologic therapy (Dermatol Ther) Vol. 31 Issue 1 (Jan 2018) ISSN: 1529-8019 [Electronic] United States
PMID29082602 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)
Copyright© 2017 Wiley Periodicals, Inc.
Topics
  • Ablation Techniques (adverse effects)
  • Adult
  • Cicatrix (etiology)
  • Cryosurgery (adverse effects)
  • Female
  • Humans
  • Hyperthermia, Induced (adverse effects)
  • Iran
  • Male
  • Remission Induction
  • Time Factors
  • Treatment Outcome
  • Warts (diagnosis, surgery, therapy)
  • Young Adult

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