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Evidence-Based Medicine 2003; 8:58
© 2003 BMJ Publishing Group


Therapeutics

Duct tape occlusion treatment increased resolution in common paediatric warts

Focht DR 3rd, Spicer C, Fairchok MP.The efficacy of duct tape vs cryotherapy in the treatment of verruca vulgaris (the common wart).Arch Pediatr Adolesc Med 2002;156:971–4[Abstract/Free Full Text]

QUESTION: In patients with common paediatric warts, is duct tape occlusion treatment more effective than cryotherapy for improving wart resolution?

Key Words: bandages • cryotherapy • warts

The first 150 words of the full text of this article appear below.

Design
Randomised (allocation concealed*), blinded (clinicians),* controlled trial with a follow up of <=16 weeks.

Setting
Madigan Army Medical Center, Tacoma, Washington, USA.

Patients
61 patients (age range 3–22 y) who had common warts. Exclusion criteria included immunodeficiency states; chronic skin diseases (eg, eczema or psoriasis); allergy to adhesive tape; warts located on the face, periungual, perianal, or genital areas; and previous cryotherapy for the same wart. Follow up was 84% (mean age 9 y, 51% girls).

Intervention
Patients were allocated to duct tape occlusion treatment for a maximum of 2 months or until resolution of the wart (n=30) or cryotherapy every 2–3 weeks for a maximum of 6 treatments or until resolution of the wart (n=31). Patients in the duct tape group received a supply of standard duct tape. The first piece of duct tape, cut as close to the size of the wart as possible, was applied to the wart in . . . [Full text of this article]

Hywel C Williams, Professor

Centre of Evidence-Based Dermatology, Queen’s Medical Centre, Nottingham, England, UK







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