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I have a 57 year old patient with vasculitis (9yrs) which is controlled with azothioprine and prednisolone. Subsequent to the vasculitis he developed type 2 diabetes stabilised with metformin and gliclazide, no apparent peripheral neuropathy and triphasic foot pulses,no clinical signs of ischaemia, this could be familiar in origin or as a result of his initial steroid medication. Approximately 5-8 years ago he developed mosaic type verrucas (according to his consultant as a side effect of his azothioprine) on both feet pmp area between 1cm and 2cm in diameter which he is keen to treat. I am reluctant to treat these with keratolytics as i dont want to cause tissue breakdown and associated complications with the vasculitis. He has tried treatment with occlusive strapping and 'herbal type remedies' with no effect. I have heard that Imiquimod has been used 'off licence' for plantar warts but have no experience of this and am not sure of the potential side effects. I would be grateful for any advice. thank you charlotte

 

I have had success on high risk pts with vp using COMPEED plaster occlusion . also works well on corns as a form of protection