Late effects of X-ray treatment of warts

Five to 22 years after warts on hands and feet were treated by X ray, 1122 patients with a total of 3675 warts were re-examined. X-Ray therapy had been given as one dose of 3000 r using 29 kV with a 0.3-mm Al filter; 19% of the warts had been given two treatments. Sequelae were seen in 4.8% of the sites where warts had been given one X-ray treatment and in 12.2% of the sites after two treatments. These side effects include hyperkeratosis in the pressure areas of palms and soles and atrophy primarily in areas with a thin cutis. There was no evidence of malignant transformation in any treatment site, and there were no deep-seated side effects such as ostitis or tendinitis.