Termo terapia vs crio, mejor pero engorrosa…

Published in Dermatology

Journal Scan / Research · March 15, 2022

Comparing Treatment Effectiveness of Local Hyperthermia at 44°C and Cryotherapy for Plantar Warts

Acta Dermato-Venereologica

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• In this prospective study, 1000 patients with plantar warts were treated with either local hyperthermia at 44°C (n = 515) or cryotherapy (n = 485). At 3-month follow-up, complete response was achieved in 50.9% of the hyperthermia group and 54.3% of the cryotherapy group. The recurrence rate at 6 months was 0.8% in the hyperthermia group, compared with 12% in the cryotherapy group. Pain scores were significantly lower for local hyperthermia than for cryotherapy group (P < .001).

• Local hyperthermia is comparable in efficacy to cryotherapy for the treatment of plantar warts and may offer reduced pain during treatment and lower rates of recurrence.

–  Katherine M. Stiff, MD

Written by

 

 

Ashish C. Bhatia MD, FAAD 

Written by

 

Eliot N. Mostow MD, MPH 

Written by

 

 

Robert T.Brodell MD, FAAD

Local hyperthermia was less painful and equally effective compared with cryotherapy but took more time (30 minutes for 3 consecutive days, then repeated for 2 consecutive days after 2 weeks). We suppose that this might be reasonable for a select group of patients, but it will certainly depend on the cost of the device used for heating and the ability to have staff or the clinician spending time with the patient (or whether the patient can be left alone with the device). Perhaps we will hear more about this, and others have studied hot water soaks as home treatment; however, this is interesting because warts continue to be a significant problem for patients for which a "perfect" solution continues to elude us!

Abstract

Cryotherapy is one of the most common treatments for warts; however, pain during treatment and relatively high recurrence rates limit its use. Local hyperthermia has also been used successfully in the treatment of plantar warts. The aim of this study was to compare the clinical effectiveness of local hyperthermia vs cryotherapy for the treatment of plantar warts. This multi- centre, open, 2-arm, non-randomized concurrent controlled trial included 1,027 patients, who received either cryotherapy or local hyperthermia treatment. Three months after treatment, local hyperthermia and cryotherapy achieved complete clearance rates of 50.9% and 54.3%, respectively. Recurrence rates were 0.8% and 12%, respectively. Pain scores during local hyperthermia were significantly lower than for cryotherapy. Both local hyperthermia and cryotherapy demonstrated similar efficacy for clearance of plantar warts; while local hyperthermia had a lower recurrence rate and lower pain sensation during treatment.

Acta Dermato-Venereologica

Local Hyperthermia Versus Cryotherapy for Treatment of Plantar Warts: A Prospective Multi-centre Non-randomized Concurrent Controlled Clinical Trial

Acta Derm Venereol 2022 Feb 28;102(xx)adv00655, W Huo, YL Gao, HY Wang, GJ Bi, S Qiao, YF Cai, RQ Qi, Y Yang, J Lan, ZR Yao, XP Han, JZ Zhang, TW Gao, S Yang, H Gu, RN Wu, HG Lu, FQ Zeng, X Chen, Y Qiao, XH Gao 

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

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