Journal of Cutaneous and Aesthetic Surgery

ORIGINAL ARTICLES
Year
: 2021  |  Volume : 14  |  Issue : 4  |  Page : 397--403

Comparative study of efficacy of intralesional purified protein derivative (PPD) versus intralesional measles, mumps, and rubella (MMR) vaccine in management of multiple viral warts


Krishna B Bhalala, Shital Poojary, Kapisha Sunny Shah 
 Department of Dermatology, Venereology, and Leprology, K. J. Somaiya Medical College, Everard Nagar, Sion Chunnabhatti, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Shital Poojary
Department of Dermatology, Venereology and Leprology, K. J. Somaiya Medical College, OPD 26, 6th Floor, Everard Nagar, Sion Chunnabhatti, Mumbai 400022, Maharashtra.
India

Background: Multiple viral warts represent a frustrating challenge for both patients and physicians. Management is difficult, primarily due to recalcitrance to standard therapy and high recurrence rates. Recently, intralesional antigen immunotherapy has shown promising efficacy in the treatment of warts. Objective: The aim of our study was to compare efficacy and safety of intralesional PPD versus measles, mumps, and rubella (MMR) vaccine in the management of multiple warts. Materials and Methods: One hundred and five patients having multiple warts were randomly divided into group A (PPD), group B (MMR) and group C (normal saline), with 35 patients in each group. In each group, the largest wart was injected intralesionally with 0.1 mL of vaccine at 2 weeks interval until complete clearance or for a maximum of 8 weeks. Results: Out of 105 patients enrolled in the study, 27, 25, and 21 patients completed the study in group A, group B, and group C, respectively. Rest were lost to follow up due to various reasons such as pain and long treatment duration. Complete clearance was seen in 14 patients (51.85%) in group A, 14 patients (56%) in group B, and 0 patients in group C. Partial clearance was seen in four patients (14.81%) in group A, four patients (16%) in group B, and three (14.28%) patients in group C. Nine patients (33.33%) in group A, seven patients (28%) in group B and 18 (85.71%) patients in group C did not respond to immunotherapy. Conclusions: Intralesional immunotherapy by both vaccines is a promising, effective, and safe treatment modality with MMR having slight edge.


How to cite this article:
Bhalala KB, Poojary S, Shah KS. Comparative study of efficacy of intralesional purified protein derivative (PPD) versus intralesional measles, mumps, and rubella (MMR) vaccine in management of multiple viral warts.J Cutan Aesthet Surg 2021;14:397-403


How to cite this URL:
Bhalala KB, Poojary S, Shah KS. Comparative study of efficacy of intralesional purified protein derivative (PPD) versus intralesional measles, mumps, and rubella (MMR) vaccine in management of multiple viral warts. J Cutan Aesthet Surg [serial online] 2021 [cited 2022 May 25 ];14:397-403
Available from: https://www.jcasonline.com/article.asp?issn=0974-2077;year=2021;volume=14;issue=4;spage=397;epage=403;aulast=Bhalala;type=0