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J. Clin. Med. 2013, 2(2), 13-21; doi:10.3390/jcm2020013
Article

The Treatment of Verrucae Pedis Using Falknor’s Needling Method: A Review of 46 Cases

1,†
 and
2,†,*
1 Winchester Podiatry, Winchester, SO23 9QX, UK 2 Faculty of Health Sciences, University of Southampton, Hampshire, SO17 1BJ, UK These authors contributed equally to this work.
* Author to whom correspondence should be addressed.
Received: 14 February 2013 / Revised: 14 March 2013 / Accepted: 19 March 2013 / Published: 2 April 2013
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Abstract

Human Papilloma Virus (HPV) related verrucae pedis persist, seemingly evading host immune surveillance, yet sometimes disappear with inflammation. The absence, or reduction, of a cellular immune response may explain why verrucae treatments are not uniformly successful and treatment can be difficult even in immune-competent individuals. Little investigation has been undertaken into the potential benefit and efficacy of needling verrucae, a treatment modality causing HPV infected keratinocyte destruction in addition to inducing an assumed enhanced immune response. A review of clinical practice is presented, reporting the treatment method and results of data collected from a retrospective review of 45 patients. Thirty-one (69%) cases demonstrated complete resolution of verrucae following needling treatment. Three patients demonstrated reduction in size and pain whilst 11 showed no improvement. No adverse events were noted. Needling may have a place in the management of verrucae pedis in an adult population but a large scale study utilising objective measures and a control intervention would provide more detailed efficacy data along with a greater understanding of the effects of this treatment on long term immunity.
Keywords: wart; verrucae; HPV; foot; plantar; virus; infection wart; verrucae; HPV; foot; plantar; virus; infection
This is an open access article distributed under the Creative Commons Attribution License (CC BY 3.0).

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Longhurst, B.; Bristow, I. The Treatment of Verrucae Pedis Using Falknor’s Needling Method: A Review of 46 Cases. J. Clin. Med. 2013, 2, 13-21.

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