J. Clin. Med. 2013, 2(2), 13-21; doi:10.3390/jcm2020013
Article

The Treatment of Verrucae Pedis Using Falknor’s Needling Method: A Review of 46 Cases

1,†email and 2,†,* email
Received: 14 February 2013; in revised form: 14 March 2013 / Accepted: 19 March 2013 / Published: 2 April 2013
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords: wart; verrucae; HPV; foot; plantar; virus; infection
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MDPI and ACS Style

Longhurst, B.; Bristow, I. The Treatment of Verrucae Pedis Using Falknor’s Needling Method: A Review of 46 Cases. J. Clin. Med. 2013, 2, 13-21.

AMA Style

Longhurst B, Bristow I. The Treatment of Verrucae Pedis Using Falknor’s Needling Method: A Review of 46 Cases. Journal of Clinical Medicine. 2013; 2(2):13-21.

Chicago/Turabian Style

Longhurst, Belinda; Bristow, Ivan. 2013. "The Treatment of Verrucae Pedis Using Falknor’s Needling Method: A Review of 46 Cases." J. Clin. Med. 2, no. 2: 13-21.

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