Stubborn Verruca

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Hi Everyone, I think this is only my 2nd posting to the arena so I sure hope I do it right. I have a very stubborn case of verruca where by the verruca freeze (cryosurgery) is not working or should say not working on the clusters of warts. I have attached 2 pics for your viewing pleasure a before pic and an after where I scraped off a build up very hard crusty skin and it revealed as you can see 3 darker areas of cluster of the warts. This is extremely sensitive for my patient when I apply the freezing. Am wondering if anyone has had any success with the silver nitrate sticks or if I should even try them? The stix are silver nitrate 75% Potassium nitrate 25%. Any suggestions would be very much appreciated.

Thanks much
Debbie

 

This looks ripe for a good needling! See the post by blinda. I'm sure admin will post for you.
Angie

 

Hi Angie

Thanks for your reply. Here on PEI we do not do needling.....sure wish we did but PEI is a little behind the times in some areas of foot health. I am not even familiar with the procedure but have heard of it. I guess I will still have to persue the veruuca freeze method at this time. Thanks again.

 

Have you tried KOH (Potassium Hydroxide)?
In crystal form, you can add a few drops of water to a few crystals, and make a paste to your desired strength. Apply this with a cotton bud to the V.P. within a pre prepared masked area.
It will provoke an immediate response of heat from the patient - how much depends on the strength of your solution, according to your desired outcome.
It's great at breaking down the tissue and makes reduction of future debris quite easy.

 

Mykored spray is fantastic. 8 out of 10 success rate!if not try salysilic acid 80% with occlusive dressing! Then mykored!

 

Hi Debbie. Yes, VP's can be tricky to treat. You may want to consider sharp dissection, no deeper that the superficial surface of the dermis. I have had reasonable success wit this approach. All the best, Stefan