|
跖疣的发病机制及治疗进展
|
Abstract:
跖疣是一种角质形成细胞感染人乳头瘤病毒(Human papilloma virus, HPV)引起的足底表面病毒感染。它是足底的特殊的寻常疣,表现为圆形乳头状黄色或褐色角质增生,表面粗糙、干燥,周围绕以增厚的角质环,其下可见疏松的角质软芯,可见毛细血管破裂外渗凝固而形成的小黑点。可能引起疼痛、出血等不适。可发生于任何人群,尤以青年人多见。可通过直接或间接接触感染。疣具有自限性,但由于跖疣部位特殊,多被挤压摩擦,病变部位增厚,故不易清除。这篇综述就其发病机制及目前的治疗研究进展进行概述。
Plantar warts are a plantar surface infection caused by keratinocytes infected with the human pap-illoma virus (HPV). It is a special common warts on the soles of the foot, manifested as round papil-lary yellow or brown keratin, with a rough, dry surface, surrounded by a thickened cuticle ring, un-der which a loose keratin soft core can be seen, and small black spots formed by extravasation and coagulation of capillary rupture can be seen. It may cause discomfort such as pain and bleeding. It can occur in any population, especially young people. Infection can be achieved through direct or indirect contact. Warts are self-limited, but due to the special location of plantar warts, they are mostly squeezed and rubbed, and the lesions are thickened, so they are not easy to remove. This review provides an overview of its pathogenesis and current advances in treatment research.
[1] | Witchey, D.J., Witchey, N.B., Roth-Kauffman, M.M., et al. (2018) Plantar Warts: Epidemiology, Pathophysiology, and Clinical Management. The Journal of the American Osteopathic Association, 118, 92-105.
https://doi.org/10.7556/jaoa.2018.024 |
[2] | 张学军, 郑捷. 皮肤性病学[M]. 北京: 人民卫生出版社, 2018. |
[3] | Dardet, J.P., Blasingame, N.P., Okpare, D., Leffler, L. and Barbosa, P. (2020) Plantar Verrucae in Human Immunodeficiency Virus Infection: 25 Years of Research of a Viral Coinfection. Clinics in Podiatric Medicine and Sur-gery, 37, 317-325. https://doi.org/10.1016/j.cpm.2019.12.010 |
[4] | Aldana-Caballero, A., Marcos-Tejedor, F. and Mayordomo, R. (2021) Diagnostic Techniques in HPV Infections and the Need to Implement them in Plantar lesions: A Systematic Review. Expert Review of Molecular Diagnostics, 21, 1341-1348. https://doi.org/10.1080/14737159.2021.2004889 |
[5] | Mahboob, M., Ahmed, N., Rahman, A., et al. (2022) Com-parison of Topical 0.1% Adapalene Gel versus Cryotherapy in Patients with Plantar Warts. Journal of Ayub Medical College, Abbottabad: JAMC, 34, 417-421.
https://doi.org/10.55519/JAMC-03-10167 |
[6] | de Planell-Mas, E., Martínez-Garriga, B., Vi?as, M. and Zala-cain-Vicu?a, A.J. (2022) Efficacy of the Treatment of Plantar Warts Using 1064 nm Laser and Cooling. International Journal of Environmental Research and Public Health, 19, Article 801. https://doi.org/10.3390/ijerph19020801 |
[7] | Zhu, P., Qi, R.Q., Yang, Y., et al. (2022) Clinical Guideline for the Diagnosis and Treatment of Cutaneous Warts (2022). Journal of Evidence-Based medicine, 15, 284-301. https://doi.org/10.1111/jebm.12494 |
[8] | García-Oreja, S., álvaro-Afonso, F.J., García-álvarez, Y., Gar-cía-Morales, E., Sanz-Corbalán, I. and Martínez, J.L.L. (2021) Topical Treatment for Plantar Warts: A Systematic Review. Dermatologic Therapy, 34, e14621.
https://doi.org/10.1111/dth.14621 |
[9] | Hekmatjah, J., Farshchian, M., Grant-Kels, J.M. and Mehregan, D. (2021) The Status of Treatment for Plantar Warts in 2021: No Definitive Advancements in Decades for a Common Dermatology Disease. Clinics in Dermatology, 39, 688-694.
https://doi.org/10.1016/j.clindermatol.2021.05.024 |
[10] | Nofal, A., El-Arab, R.E., Nasr, M., et al. (2021) Intrale-sional Measles, Mumps and Rubella Vaccine versus Intralesional Candida Antigen in the Treatment of Common and Plantar Warts. Journal of Cutaneous Medicine and Surgery, 25, 377-383. https://doi.org/10.1177/1203475421991130 |
[11] | Nofal, A., Marei, A., Ibrahim, A.M., et al. (2020) Intralesional versus Intramuscular Bivalent Human Papillomavirus Vaccine in the Treatment of Recalcitrant Common Warts. Journal of the American Academy of Dermatology, 82, 94-100.
https://doi.org/10.1016/j.jaad.2019.07.070 |
[12] | Nofa,l A., Adel, L., Fawzy, M. and Elkholy, B.M. (2022) Intrale-sional Immunotherapy for Multiple Recalcitrant Plantar Warts: Candida Antigen Is Superior to Intralesional Purified Pro-tein Derivative. Dermatologic Therapy, 35, e15440.
https://doi.org/10.1111/dth.15440 |
[13] | Elsayed Ghaly, N., El-Ashmawy, A.A., Abou Zeid, M. and Shaker, E.S.E. (2021) Efficacy and Safety of Intralesional Injection of Vitamin D3 versus Tuberculin PPD in the Treatment of Plantar Warts: A Comparative Controlled Study. Journal of Cosmetic Dermatology, 20, 1231-1240. https://doi.org/10.1111/jocd.13712 |
[14] | Fathy, G., Sharara, M.A. and Khafagy, A.H. (2019) Intralesional Vitamin D3 versus Candida Antigen Immunotherapy in the Treatment of Multiple Recalcitrant Plantar Warts: A Comparative Case-Control Study. Dermatologic Therapy, 32, e12997. https://doi.org/10.1111/dth.12997 |
[15] | Abd El-Magid, W.M., Nada, E.E.A. and Mossa, R.A. (2021) Intralesional Injection of Vitamin D3 versus Zinc Sulfate 2% in Treatment of Plantar WARTS: A Comparative Study. The Journal of Dermatological Treatment, 32, 355-360.
https://doi.org/10.1080/09546634.2019.1656326 |
[16] | Prohaska, J. and Jan, A.H. (2023) Cryotherapy. StatPearls Publishing LLC, Tampa. |
[17] | Bruggink, S.C., Gussekloo, J., Berger, M.Y., et al. (2010) Cryotherapy with Liquid Ni-trogen versus Topical Salicylic Acid Application for Cutaneous Warts in Primary Care: Randomized Controlled Trial. CMAJ: Canadian Medical Association Journal (Journal de l’Association Medicale Canadienne), 182, 1624-1630.
https://doi.org/10.1503/cmaj.092194 |
[18] | Forbat, E. and Al-Niaimi, F. (2019) Nonvascular Uses of Pulsed Dye Laser in Clinical Dermatology. Journal of Cosmetic Dermatology, 18, 1186-1201. https://doi.org/10.1111/jocd.12924 |
[19] | Sethuraman, G., Richards, K.A., Hiremagalore, R.N. and Wagner, A. (2010) Effectiveness of Pulsed Dye Laser in the Treatment of Recalcitrant Warts in Children. Dermatologic Surgery, 36, 58-65.
https://doi.org/10.1111/j.1524-4725.2009.01381.x |
[20] | Bennardo, L., Fasano, G., Tamburi, F., et al. (2022) Se-quential Use of CO2 Laser Prior to Nd:YAG and Dye Laser in the Management of Non-Facial Warts: A Retrospective Study. Medicina, 58, Article 115.
https://doi.org/10.3390/medicina58010115 |
[21] | Del Duca, E., Zingoni, T., Bennardo, L., et al. (2021) Long-Term Follow-Up for Q-Switched Nd:YAG Treatment of Nevus of Ota: Are High Number of Treatments Really Required? A Case Report. Photobiomodulation, Photomedicine and Laser Surgery, 39, 137-140. https://doi.org/10.1089/photob.2020.4812 |
[22] | Silvestri, M., Bennardo, L., Zappia, E., et al. (2021) Q-Switched 1064/532 nm Laser with Picosecond Pulse to Treat Benign Hyperpigmentations: A Single-Center Retrospective Study. Applied Sciences, 11, Article 7478.
https://doi.org/10.3390/app11167478 |
[23] | Bennardo, L., Cannarozzo, G., Tamburi, F., et al. (2021) Picosecond Q-Switched 1064/532 nm Laser in Tattoo Removal: Our Single Center Experience. Applied Sciences, 11, Article 9712. https://doi.org/10.3390/app11209712 |
[24] | Cannarozzo, G., Nisticò, S.P., Zappia, E., et al. (2021) Q-Switched 1064/532 nm Laser with Nanosecond Pulse in Tattoo Treatment: A Double-Center Retrospective Study. Life, 11, Article 699. https://doi.org/10.3390/life11070699 |
[25] | Cannarozzo, G., Negosanti, F., Sannino, M., et al. (2019) Q-Switched Nd:YAG Laser for Cosmetic Tattoo Removal. Dermatologic Therapy, 32, e13042. https://doi.org/10.1111/dth.13042 |
[26] | Gheisari, M., Iranmanesh, B., Nobari, N.N. and Amani, M. (2019) Com-parison of Long-Pulsed Nd:YAG Laser with Cryotherapy in Treatment of Acral Warts. Lasers in Medical Science, 34, 397-403.
https://doi.org/10.1007/s10103-018-2613-7 |
[27] | Khattab, F.M. and Khashaba, S.A. (2020) Evaluation of Com-bined Treatment with Long-Pulsed Neodymium-Doped Yttrium Aluminum Garnet Laser and Potassium Hydroxide for the Treatment of Recalcitrant Wart: A Prospective Comparative Study. The Journal of Dermatological Treatment, 31, 56-60.
https://doi.org/10.1080/09546634.2019.1618436 |
[28] | Zorman, A. and Koron, N. (2021) Wart Removal without Anesthesia Using Long-Pulse 1064-nm Nd:YAG Laser. Journal of Cosmetic Dermatology, 20, 506-512. https://doi.org/10.1111/jocd.13593 |
[29] | Le, H.T.T., Truong Van, C., Thi, N.M. and Al-Niaimi, F. (2022) Our Ex-perience Using 1064 nm Nd:YAG in Palmoplantar Warts. Journal of Cosmetic and Laser Therapy, 24, 28-32. https://doi.org/10.1080/14764172.2022.2050761 |
[30] | Iranmanesh, B., Khalili, M., Zartab, H., Amiri, R. and Afla-toonian, M. (2021) Laser Therapy in Cutaneous and Genital Warts: A Review Article. Dermatologic Therapy, 34, e14671. https://doi.org/10.1111/dth.14671 |
[31] | Suh, J.H., Lee, S.K., Kim, M.S. and Lee, U.H. (2020) Efficacy of Bleomycin Application on Periungual Warts after Treatment with Ablative Carbon Dioxide Fractional Laser: A Pilot Study. The Journal of Dermatological Treatment, 31, 410-414. https://doi.org/10.1080/09546634.2019.1605136 |
[32] | Boroujeni, N.H., Handjani, F. and Saki, N. (2020) CO2 La-ser Treatment for Plantar Warts in Children: A Case Series. Dermatologic Therapy, 33, e13414. |
[33] | Tu, P., Zhang, H., Zheng, H., et al. (2021) 5-Aminolevulinic Photodynamic Therapy versus Carbon Dioxide Laser Therapy for Small Geni-tal Warts: A Multicenter, Randomized, Open-Label Trial. Journal of the American Academy of Dermatology, 84, 779-781. https://doi.org/10.1016/j.jaad.2019.07.073 |
[34] | Nistico, S.P., Silvestri, M., Zingoni, T., et al. (2021) Combination of Fractional CO2 Laser and Rhodamine-Intense Pulsed Light in Facial Rejuvenation: A Randomized Controlled Trial. Photobiomodulation, Photomedicine and Laser Surgery, 39, 113-117. https://doi.org/10.1089/photob.2020.4876 |
[35] | Kagoyama, K., Makino, T. and Shimizu, T. (2020) Successful Treatment of Recalcitrant Plantar Warts by Carbon Dioxide Laser with a Computerized Scanner. The British Journal of Dermatology, 182, 809-811.
https://doi.org/10.1111/bjd.18553 |
[36] | Mu, Y.Z., Jiang, L. and Yang, H. (2019) The Efficacy of Fractional Abla-tive Carbon Dioxide Laser Combined with Other Therapies in Acne Scars. Dermatologic Therapy, 32, e13084. https://doi.org/10.1111/dth.13084 |
[37] | Nassar, A., Mostafa, M. and Khashaba, S.A. (2020) Photodynamic Therapy versus Candida Antigen Immunotherapy in Plane Wart Treatment: A Comparative Controlled Study. Photodiagnosis and Photodynamic Therapy, 32, Article ID: 101973. https://doi.org/10.1016/j.pdpdt.2020.101973 |
[38] | Vermandel, M., Dupont, C., Lecomte, F., et al. (2021) Standardized Intraoperative 5-ALA Photodynamic Therapy for Newly Diagnosed Glioblastoma Patients: A Preliminary Analysis of the INDYGO Clinical Trial. Journal of Neuro- Oncology, 152, 501-514. https://doi.org/10.1007/s11060-021-03718-6 |
[39] | Darlenski, R. and Fluhr, J.W. (2013) Photodynamic Therapy in Dermatology: Past, Present and Future. Journal of Biomedical Optics, 18, Article ID: 061208. https://doi.org/10.1117/1.JBO.18.6.061208 |
[40] | Wang, H., Xiong, L., Xia, Y., et al. (2020) 5-Aminolaevulinic Acid-Based Photodynamic Therapy Induces both Necrosis and Apoptosis of Keratinocytes in Plantar Warts. Journal of Cosmetic and Laser Therapy, 22, 165-170.
https://doi.org/10.1080/14764172.2020.1785626 |
[41] | Wu, C., Qiu, X., He, C. and Ci, C. (2022) Effect of 5-Aminolevulinic Acid Photodynamic Therapy with Transfer Factor Capsules in the Treatment of Multiple Plantar Warts. BioMed Research International, 2022, Article ID: 1220889.
https://doi.org/10.1155/2022/1220889 |
[42] | 缪泽群, 郑楷平, 肖桂凤, 等. 点阵CO2激光联合液氮冷冻治疗跖疣45例临床观察[J]. 中国皮肤性病学杂志, 2014, 28(10): 1024-1025. |
[43] | 李姗姗, 邹婷, 张瑾. 二氧化碳激光联合液氮冷冻治疗对多发性跖疣患者生活质量及复发的影响[J]. 医药论坛杂志, 2022, 43(8): 75-78. |
[44] | Gamil, H.D., Nasr, M.M., Khattab, F.M., et al. (2020) Combined Therapy of Plantar Warts with Topical Bleomycin and Mi-croneedling: A Comparative Controlled Study?. The Journal of Dermatological Treatment, 31, 235-240.
https://doi.org/10.1080/09546634.2019.1612837 |
[45] | Caccavale, S., Iocco, A., Pieretti, G., et al. (2019) Curettage? + ?Microneedling? +? Topical ALA-PDT for the Treatment of Acral Resistant Warts: Our Experience. Photodiagnosis and Photodynamic Therapy, 27, 276-279.
https://doi.org/10.1016/j.pdpdt.2019.04.008 |
[46] | 王萍, 黎雯, 陆捷洁. 光动力疗法联合火针治疗顽固性跖疣18例临床观察[J]. 宁夏医科大学学报, 2018, 40(9): 1102-1104. |