Intended for healthcare professionals

Rapid response to:


PapersLocal treatments for cutaneous warts: systematic reviewCommentary: Systematic reviewers face challenges from varied study designs

BMJ 2002; 325 doi: (Published 31 August 2002) Cite this as: BMJ 2002;325:461

Rapid Response:

Local Treatment For Cutaneous Warts;Hurrah to Gibbs et al.

Having treated thousands of patients with plantar verrucae with the
use of topical salicylic acid, I am overjoyed to see a paper published
supporting what I has been clinically evident to me for over 20 years. The
topical use of Sal acid is an effective treatment for plantar verrucae.

Very often a parent will bring in a child for evaluation and
treatment of multiple verrucae. I initially treat them with topical
salicylic acid. In many cases the parents want instant cure. They don't
want to wait one, two or even twelve weeks to assess the efficacy of the
therapy. All too often after the third week of therapy the parent will ask
why I don't surgically remove the warts or initiate, cryotherapy,
hyphrecation, Lazer therapy or some other more invasive way of treating
the warts. In some cases they will even go to a different clinic where a
more aggressive form of therapy will be tried first.

Thanks to the authors, I now can show these patients a well written
and well documented medical paper supporting topical salicylic acid
therapy as a legitimate first line of treatment for pedal warts.

Elliot Udell

Hicksville, New York

Competing interests: No competing interests

05 September 2002
Elliot T. Udell
Temple University
Hicksville, New York 11801