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Bacillus Calmette-Guerin Immunotherapy for Recurrent Multiple Warts: An Open-Label Uncontrolled Study.

Avtar Kishan Jaisinghani1, Vivek Kumar Dey2, M S Suresh2

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|April 16, 2019
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Summary
This summary is machine-generated.

Intralesional bacillus Calmette-Guerin (BCG) vaccine immunotherapy effectively treated recurrent multiple warts, with 73.53% achieving complete clearance. This safe and promising treatment prevented recurrence in patients who responded fully.

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Bacillus calmette–guerin immunotherapycutaneous wartsimmunotherapy

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Area of Science:

  • Dermatology
  • Immunotherapy
  • Vaccinology

Background:

  • Cutaneous warts pose treatment challenges due to recurrence and multiplicity.
  • Intralesional immunotherapy is increasingly used for recurrent warts, showing efficacy in clearing distant lesions and preventing recurrence.

Purpose of the Study:

  • To evaluate the efficacy and safety of intralesional bacillus Calmette-Guerin (BCG) vaccine immunotherapy.
  • To assess BCG vaccine's effectiveness in treating recurrent multiple extragenital warts.

Main Methods:

  • 40 adult patients with multiple recurrent warts received intralesional BCG vaccine injections.
  • Injections were administered into the largest wart at 3-week intervals for up to three sessions.
  • Patients were monitored for 3 months post-treatment to assess clearance and recurrence.

Main Results:

  • Complete lesion clearance was achieved in 73.53% of patients, with partial clearance in 23.53%.
  • 75% of patients with distant warts showed a complete response.
  • Mild side effects including injection site pain, itching, erythema, and flu-like symptoms were reported.

Conclusions:

  • Intralesional BCG immunotherapy is a safe and effective treatment for recurrent multiple warts.
  • BCG immunotherapy demonstrates potential for clearing warts and preventing their recurrence.