RESPONSES / COMMENTS (CLINICAL) - PART 1

07/29/2010     

RE: Multiple Verrucae (Gary Bjarnason, DPM)
From: Multiple Respondents

This is a patient who likely is having an issue with a burdened immune system. Look at the epigenome for answers. Diet is the biggest culprit. Get him off of refined carbohydrates, put him on a good probiotic. I would do a work-up for IgG food sensitivities as well as adrenal stress. These patients respond really well to diet changes, immune support, and gentle natural meds that inhibit viral replication. I've done it with adults as well as young people very successfully. In this case, you already see that just attacking the virus at the skin level is not the answer.

Bob Kornfeld, DPM, Manhasset, NY, Holfoot153@aol.com

My treatment of choice has always been Bleomycin. It is easy to do, consists of one treatment and (given adequate seroconversion of the patient) will result in all the warts on the body (foot and hand) resolving within about 5-6 weeks. If you'd like my treatment method, write to me and I'll send you the .pdf.

David Secord, DPM, Corpus Christi, TX, david5603@pol.net

For multiple recurrent verrucae, effective treatment in younger patients is Tagamet 400mg and laserformalyde topical solution. If the patient is adult size (110 lbs), I prescribe 3 Tagamet daily and once daily application of laserformaldahyde. I debride them after 3 weeks, and then in 4-6 week increments. It is not perfect, but it does have a significant success rate. Be careful; the laserformaldahyde may cause drying and cracking of the peripheral skin, and application may have to be reduced to every other day.

Brian Kiel, DPM, Memphis, TN, Footdok4@gmail.com