How should I treat warts? How long is the follow-up period?

  The treatment of warts is based on the removal of local proliferative warts, together with local or systemic immune enhancing treatment.   1, local drug treatment: for the most commonly used methods, the efficacy is more certain.  (1) 0.5% tincture of haematoxylin can inhibit mitosis of epidermal cells and cause tissue necrosis, with little side effects. Apply the drug twice a day, 3 days as a course of treatment, repeat the drug requires an interval of 4 days or more than 4 days. The main side effects are mild local erythema, edema, erosion, and pain.  (2) 10%-25% tincture of foot leaf resin (or ethanol liquid) The mechanism of action is the same as that of the onychomycetin, but the irritation is large and can lead to systemic absorption of toxic reactions. Pregnant women and children are prohibited.  (3) 5% 5-fluorouracil There are ointment and solution preparations, when used externally should pay attention to protect the normal skin. For the treatment of male urethral warts, inject 12ml of the cream with a nozzle or apply it with a cotton swab 4 times a day after the bladder has been emptied. For vaginal warts, wet gauze with 5% of the solution and insert it into the vagina for 2 hours.  (4) 25% to 50% trichloroacetic acid solution This drug is not absorbed by the mucous membrane and skin, can be used for the treatment of warts in pregnant women. It can be used once a day for 4 to 6 days, and can be used again at an interval of 1 week.  (5) Chinese medicine preparations (Paitling) This drug is developed by the Chinese Academy of Sciences, pure Chinese medicine preparations, through cytotoxic effect to inhibit the proliferation of warts cells, and HPV virus inhibition and killing effect. The two times a day for 3 days, stop 4 days for a course of treatment to get rid of warts and subclinical infection need 3-4 courses of treatment to prevent recurrence with 50 times the dilution of wet compresses on the affected area. The drug is safer, less local adverse reactions and light.   (6) Imiquimod is a new topical immunomodulator, by inducing the body to produce interferon to play anti-virus and anti-tumor ability, 3 times a week with the drug, a total of 4 months course of treatment.  2, physical therapy: is currently the main treatment to remove warts, the efficacy is certain.  (1) commonly used are CO2 laser, electric cautery or electric drying, freezing and microwave, etc.: laser treatment warts removal rate is high, but the recurrence rate is also high, the urethral opening and anal canal warts recommended not laser treatment, so as not to form scar stenosis; scar body of patients to avoid laser treatment.  (2) Ira photodynamic: special parts of the warts (such as warts occurring in the urethra, urethra, anal canal and around the opening of the vulva glands) can be directly selected Ira photodynamic treatment, good efficacy, less recurrence, no scarring after treatment; for local laser or freezing treatment, warts often recur, it is recommended that local Ira photodynamic treatment 3-4 times.  3. local injectable drugs: interferon, scramblomycin and 5-fluorouracil can be used.  4. surgical treatment: for larger damage or foreskin multiple warts damage, it is advisable to choose surgical treatment, such as circumcision.  5. systemic treatment: currently used in combination with local treatment, can play a supplementary therapeutic role. The actual fact is that you can use a lot of the same things as you would if you had a lot of the same things.  The patient’s symptoms are different, the number of warts, size, appearance of the site, the length of the disease, and whether or not to treat, are different. The actual fact is that you will need to choose the right treatment for your individual situation, the specific treatment should also be diagnosed in the regular hospital dermatology department.  The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things.