Evaluation of intralesional 5-fluorouracil versus intralesional interferon alpha in treatment of warts

https://doi.org/10.53730/ijhs.v8nS1.14884

Authors

  • Bayoumy Ibrahim Abdelhameed Eassa Professor of Dermatology, Venereology and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
  • Ahmed Ezzat Moawad Mohamed Dermatology, venereology, and Andrology Resident, Al-Houd Al-Marsoud Hospital, Cairo, Egypt
  • Omar Abdel Hady Omar Lecturer of Dermatology, Venereology, and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
  • Ahmad Saeed Aladl Assistant Professor of Dermatology, Venereology, and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
  • Ahmed Shawky Abdelaty Abolela Assistant Professor of Dermatology, Venereology, and Andrology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt

Keywords:

5-Fluorouracil, Interferon Alpha, Warts, Verruca, Human Papillomavirus

Abstract

Background: Warts are non-malignant growth of the skin and mucous membranes resulting from infection with human papillomavirus (HPV). It can significantly impact the quality of life for patients and elicit feeling of embarrassment. Aim and objectives: A comparative analysis of the efficacy of intralesional 5-FU and intralesional interferon alpha among distinct groups of patients diagnosed with warts. Patients and methods: This is a cohort of sixty individuals diagnosed with warts were selected from the period of early April 2022 to the end of April 2023. Results: There was a statistically significant difference (P-value=0.005) seen between the two groups, namely group A and group B, in relation to the final response. In group A (5-Fluorouracil)), complete clearance was achieved by 23 patients (76.7%), with 7 patients (23.3%) showing partial response. No instances of resistance were observed in this group. Conversely, in group B (Interferon alpha), only 11 patients (36.7%) attained complete clearance, while 16 patients (53.3%) exhibited partial response, and resistance was evident in 3 cases (10%). Conclusion: Intralesional 5-Fluorouracil (5-FU) is highly effective, cheaper, and easily available in treating warts. The combination of the both treatments may deliver a greater benefit to patients with resistant warts.

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References

Aksakal, A. A., Ozden, M. G., Atahan, C., & Onder, M. (2009). Successful treatment of verruca plantaris with a single sublesional injection of interferon‐α2a. Clinical and experimental dermatology, 34(1), 16-19.‏

Chen, L., Wu, Y., Sun, Y., Qiao, S., Xiao, B., Wang, J., ... & Gao, X. (2023). Combined therapy of local recombinant human interferon α1b injection and acupuncture on verruca vulgaris: a retrospective study. Archives of Dermatological Research, 315(8), 2365-2373.‏

Ghonemy, S., Ibrahim Ali, M., & Ebrahim, H. M. (2020). The efficacy of microneedling alone vs its combination with 5‐fluorouracil solution vs 5‐fluorouracil intralesional injection in the treatment of plantar warts. Dermatologic Therapy, 33(6), e14179.‏

Kamal, T., Ahmad, F., & Iftikhar, U. (2018). Efficacy and safety of intralesional 5-fluorouracil in treatment of warts. Journal of Pakistan Association of Dermatologists, 28(3), 337-339.‏

Kannambal, K., Kaviarasan, P. K., Prasad, P. V. S., Poorana, B., & Balajiganesh, J. (2019). Efficacy of intralesional 5-fluorouracil in recalcitrant warts a study at tertiary care centre. J Med Sci Clin Res, 7, 556-60.‏

Lynch, M. D., Cliffe, J., & Morris-Jones, R. (2014). Management of cutaneous viral warts. Bmj, 348.‏

Park, J. H., Kim, Y. K., & Choi, G. S. (2002). Combination Therapy with Intralesional Interferon ǯ-2b and Pulsed Dye Laser for the Treatment of Periungual Warts. Ann Dermatol, 14(2), 82-87.‏

Rafique, S., Hassan, T., Shahzad, M. K., Hanif, N., Rafique, S., & Rafique, S. (2023). Comparison of MMR Vaccine V/S 5-Fluorouracil in Treatment of Palmo-plantar Warts. Pakistan Journal of Medical & Health Sciences, 17(04), 76-76.‏

Vance, J. C., Bart, B. J., Hansen, R. C., Reichman, R. C., McEwen, C., Hatch, K. D., ... & Tanner, D. J. (1986). Intralesional recombinant alpha-2 interferon for the treatment of patients with condyloma acuminatum or verruca plantaris. Archives of Dermatology, 122(3), 272-277.‏

Yazdanfar, A., Farshchian, M., Fereydoonnejad, M., & Farshchian, M. (2008). Treatment of common warts with an intralesional mixture of 5-fluorouracil, lidocaine, and epinephrine: a prospective placebo-controlled, double-blind randomized trial. Dermatologic surgery, 34(5), 656-659.‏

Published

06-05-2024

How to Cite

Eassa, B. I. A., Mohamed, A. E. M., Omar, O. A. H., Aladl, A. S., & Abolela, A. S. A. (2024). Evaluation of intralesional 5-fluorouracil versus intralesional interferon alpha in treatment of warts. International Journal of Health Sciences, 8(S1), 669–680. https://doi.org/10.53730/ijhs.v8nS1.14884

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