SAN FRANCISCO – The current savior of dermatologists who treat pediatric warts is immunotherapy with Candida antigen, according to Dr. Sheila Fallon Friedlander.
"Warts are either the bane of your existence or the bread and butter," she said at the Women’s & Pediatric Dermatology Seminar sponsored by Skin Disease Education Foundation (SDEF). Candida antigen injections are not her first-line treatment choice, and injections aren’t desirable for some warts (such as those on the face), but she said Candida antigen is effective.
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| Photo courtesy Dr. Sheila Fallon Friedlander One study found a relapse rate of 5% with Candida antigen injection after 2 years, compared with relapse rates of 39% with cryotherapy and 10% with laser therapy. |
"There’s a lot of experience out there now. Candida truly does work, but you’ve got to be aware of side effects," said Dr. Friedlander, professor of clinical pediatrics and medicine at the University of California, San Diego.
Articles in the medical literature suggest injecting up to 0.3 cc of Candida antigen directly into the substance of the largest wart. "Who are they kidding?" she scoffed. The wart would have to be a giant one to hold that much. "Get what you can directly into the wart," she suggested.
There’s controversy about whether it’s most important to get Candida antigen into the wart, the dermis, or both. Dr. Friedlander said she tries to do both. There’s no need to treat all warts; usually injecting one to three will suffice. Repeat the treatment every 3 weeks for a total of three to five treatments, she said.
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