For young and middle-aged people aged 18-50, eczema acuminatum is also a disease that needs to be prevented in time. The disease is mainly caused by viral infection, and hyperplastic damage in the anal and genital areas is the main clinical manifestation. According to relevant experts, ordinary drugs have no obvious effect on the disease, so some new treatments based on high-tech are more effective. Cryotherapy Using liquid nitrogen at -196℃, cryotherapy is used to treat condyloma acuminatum, which promotes the necrosis and shedding of wart tissue. The operation is simple, efficient, and easy for patients to tolerate. This method is suitable for small number and small area of convulsant warts, and can be treated 1 to 2 times, with an interval of one week. Laser therapy Usually CO2 laser is used to treat condyloma acuminatum by ablation. Single or a small number of multiple warts can be treated once, while multiple or large warts can be treated 2 to 3 times, usually with an interval of one week. Chemotherapy (1) 0.5% podophyllotoxin tincture (or 0.15% cream) is suitable for the treatment of genital warts with a diameter of ≤10mm, and the clinical cure rate can reach about 90%. The total area of the warts should not exceed 10cm2, and the total daily dosage should not exceed 0.5ml. After application, the local medicine should be allowed to dry naturally. The main side effect is local irritation, which may include itching, burning pain, redness, swelling, erosion and necrosis. In addition, this drug has teratogenic effects and should not be used by pregnant women. (2) 5% imiquimod cream is used to treat condyloma acuminatum, and the average wart clearance rate is 56%. The advantage of this treatment is the low recurrence rate, which is about 13%. The occurrence of erythema is not an indication for discontinuation of the drug. The occurrence of erosion or damage requires discontinuation of the drug and a follow-up visit. The doctor will treat the wound and decide whether to continue the drug. The side effects are mainly local irritation, which may include itching, burning pain, erythema, and erosion. The safety of imiquimod during pregnancy has not yet been established, and pregnant women should not use it. (3) 80% to 90% trichloroacetic acid or dichloroacetic acid must be used by a doctor for treatment. When using, apply a small amount of liquid medicine on the wart lesion and wait for it to dry. At this time, a layer of white frost will form on the surface. During treatment, care should be taken to protect the surrounding normal skin and mucous membranes. If the amount of external liquid medicine is excessive, talcum powder, sodium bicarbonate (baking soda) or liquid soap can be applied to neutralize the excess, unreacted acid. This drug cannot be used for hyperkeratotic or larger, multiple, and larger warts. Adverse reactions include local irritation, redness, swelling, erosion, etc. |
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