A Case of Recalcitrant Plantar Warts Associated with Statin Use

Background. Plantar warts are a common presenting skin complaint caused by the human papillomavirus. 1st line therapies include cryotherapy and topical salicylic acid. Where there is resistance to these treatments, consideration is made for 2nd line therapies, including intralesional bleomycin, imiq...

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Main Authors: Aaron G. Wernham, Shireen S. Velangi
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2015/320620
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author Aaron G. Wernham
Shireen S. Velangi
author_facet Aaron G. Wernham
Shireen S. Velangi
author_sort Aaron G. Wernham
collection DOAJ
description Background. Plantar warts are a common presenting skin complaint caused by the human papillomavirus. 1st line therapies include cryotherapy and topical salicylic acid. Where there is resistance to these treatments, consideration is made for 2nd line therapies, including intralesional bleomycin, imiquimod, 5-fluorouracil, and photodynamic therapy. We present a case of bilateral persistent plantar warts, resistant to treatment with repeated cryotherapy and topical salicylic acid over a 6-year period. Following a patient initiated decision to discontinue their statin medication, we observed rapid clearance of plantar warts without change to standard therapy or their environment. This case correlates with emerging literature demonstrating a link between statin medication and proliferation of HPV through increased levels of FOXP3+ regulatory T cells.
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spelling doaj-art-99bca195532c479c843f338bdca489a82025-02-03T05:59:42ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712015-01-01201510.1155/2015/320620320620A Case of Recalcitrant Plantar Warts Associated with Statin UseAaron G. Wernham0Shireen S. Velangi1Department of Dermatology, Sandwell and West Birmingham NHS Trust, Birmingham B18 7QH, UKDepartment of Dermatology, Sandwell and West Birmingham NHS Trust, Birmingham B18 7QH, UKBackground. Plantar warts are a common presenting skin complaint caused by the human papillomavirus. 1st line therapies include cryotherapy and topical salicylic acid. Where there is resistance to these treatments, consideration is made for 2nd line therapies, including intralesional bleomycin, imiquimod, 5-fluorouracil, and photodynamic therapy. We present a case of bilateral persistent plantar warts, resistant to treatment with repeated cryotherapy and topical salicylic acid over a 6-year period. Following a patient initiated decision to discontinue their statin medication, we observed rapid clearance of plantar warts without change to standard therapy or their environment. This case correlates with emerging literature demonstrating a link between statin medication and proliferation of HPV through increased levels of FOXP3+ regulatory T cells.http://dx.doi.org/10.1155/2015/320620
spellingShingle Aaron G. Wernham
Shireen S. Velangi
A Case of Recalcitrant Plantar Warts Associated with Statin Use
Case Reports in Dermatological Medicine
title A Case of Recalcitrant Plantar Warts Associated with Statin Use
title_full A Case of Recalcitrant Plantar Warts Associated with Statin Use
title_fullStr A Case of Recalcitrant Plantar Warts Associated with Statin Use
title_full_unstemmed A Case of Recalcitrant Plantar Warts Associated with Statin Use
title_short A Case of Recalcitrant Plantar Warts Associated with Statin Use
title_sort case of recalcitrant plantar warts associated with statin use
url http://dx.doi.org/10.1155/2015/320620
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