The treatment of plantar warts using microwave—A review of 85 consecutive cases in the United States

Author:

Gupta Aditya K.12ORCID,Wang Tong2ORCID,Cooper Elizabeth A.2,Conenello Robert M.3,Bristow Ivan R.4ORCID

Affiliation:

1. Division of Dermatology, Department of Medicine University of Toronto School of Medicine Toronto Ontario Canada

2. Mediprobe Research Inc. London Ontario Canada

3. Orangetown Podiatry Orangeburg New York USA

4. School of Health Sciences Faculty of Environmental and Life Sciences University of Southampton Southampton UK

Abstract

AbstractBackgroundPlantar warts (verrucae plantaris) are a common source of pain for patients and are often refractory to treatment. Previous work has shown a high clearance rate of verrucae using a surface‐based microwave device (Swift®).AimsTo assess the efficacy, defined as the complete visible clearance of warts, in patients with verrucae plantaris receiving microwave treatment.PatientsWe undertook a retrospective review and identified records of 85 patients who underwent a course of microwave treatment at a single US‐based podiatry centre. Efficacy was analyzed on the basis on intention‐to‐treat.ResultsIn patients who received ≥1 session there was a complete clearance rate of 60.0% (51/85) (intention‐to‐treat; 59 patients completed treatment, 26 lost to follow‐up) and 86.4% (51/59) per treatment completion; no significant differences in clearance rates of children and adults were observed (61.0% [25/41] vs. 59.1% [26/44]). There were 31 patients who received three sessions of microwave therapy with a clearance rate of 71.0% (22/31) as per intention‐to‐treat (27 patients completed treatment, 4 lost to follow‐up). An average of 2.3 sessions (SD: 1.1; range: 1–6) was required for the complete clearance of plantar warts. Complete clearance was also observed in some patients with recalcitrant warts following additional treatment sessions (42.9% [3/7]). A significant reduction in wart related pain was reported for all patients undergoing treatment. Some patients continued to report a reduced amount of pain post‐therapy compared with pretherapy.ConclusionsMicrowave treatment of verrucae plantaris appears to be a safe and effective procedure.

Publisher

Wiley

Subject

Dermatology

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