The treatment of verrucae pedis using Falknor’s needling method: a review of 46 cases
The treatment of verrucae pedis using Falknor’s needling method: a review of 46 cases
Human Papilloma Virus (HPV) related verrucae pedis persist, seemingly evading host immune surveillance, yet sometimes disappear with inflammation. The absence, or reduction, of a cellular immune response may explain why verrucae treatments are not uniformly successful and treatment can be difficult even in immune-competent individuals. Little investigation has been undertaken into the potential benefit and efficacy of needling verrucae, a treatment modality causing HPV infected keratinocyte destruction in addition to inducing an assumed enhanced immune response. A review of clinical practice is presented, reporting the treatment method and results of data collected from a retrospective review of 45 patients. Thirty-one (69%) cases demonstrated complete resolution of verrucae following needling treatment. Three patients demonstrated reduction in size and pain whilst 11 showed no improvement. No adverse events were noted. Needling may have a place in the management of verrucae pedis in an adult population but a large scale study utilising objective measures and a control intervention would provide more detailed efficacy data along with a greater understanding of the effects of this treatment on long term immunity.
13-21
Longhurst, Belinda
847ac95c-00a3-40a5-8d66-a885fd92e3b7
Bristow, I.R.
f1974879-83d4-4944-8c4b-dddc51e71a22
2 April 2013
Longhurst, Belinda
847ac95c-00a3-40a5-8d66-a885fd92e3b7
Bristow, I.R.
f1974879-83d4-4944-8c4b-dddc51e71a22
Longhurst, Belinda and Bristow, I.R.
(2013)
The treatment of verrucae pedis using Falknor’s needling method: a review of 46 cases.
Journal of Clinical Medicine, 2, .
(doi:10.3390/jcm2020013).
Abstract
Human Papilloma Virus (HPV) related verrucae pedis persist, seemingly evading host immune surveillance, yet sometimes disappear with inflammation. The absence, or reduction, of a cellular immune response may explain why verrucae treatments are not uniformly successful and treatment can be difficult even in immune-competent individuals. Little investigation has been undertaken into the potential benefit and efficacy of needling verrucae, a treatment modality causing HPV infected keratinocyte destruction in addition to inducing an assumed enhanced immune response. A review of clinical practice is presented, reporting the treatment method and results of data collected from a retrospective review of 45 patients. Thirty-one (69%) cases demonstrated complete resolution of verrucae following needling treatment. Three patients demonstrated reduction in size and pain whilst 11 showed no improvement. No adverse events were noted. Needling may have a place in the management of verrucae pedis in an adult population but a large scale study utilising objective measures and a control intervention would provide more detailed efficacy data along with a greater understanding of the effects of this treatment on long term immunity.
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Published date: 2 April 2013
Organisations:
Physical & Rehabilitation Health
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Local EPrints ID: 351173
URI: http://eprints.soton.ac.uk/id/eprint/351173
PURE UUID: b7c4ddc6-885e-4025-9054-9d77a5f968d6
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Date deposited: 16 Apr 2013 11:42
Last modified: 14 Mar 2024 13:36
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Author:
Belinda Longhurst
Author:
I.R. Bristow
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