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leather notebook/leather journal removable adhesive tape manufacturer of teflon tape flocking with gasi file brown tape&packing tape winne the pooh colour pens pc card slot smart card slot grade a office 48 colors oil pastel johnson mechanical insta mark pencils day timer planner dat 72 tape fastening staples memo and pencil fly games penDuct tape occlusion therapy (DTOT): is a controversial method for treating warts by keeping them covered with duct tape for an extended period. The putative mechanism is not well understood and is likely a result of stimulation of the host immune system[1]. Similar treatments involving silicone gel sheets are often used with hypertrophic scars, also with an unknown method of action.
Suggested procedure:
Place a piece of duct tape on the lesion
Leave the tape in place for six days, replacing any duct tape that falls off with a new piece as soon as possible
After six days, remove tape and soak the wart in warm water
Gently debride the lesions with a pumice stone or emery board
Next morning, apply a new piece of duct tape to begin another six-day cycle for up to two months or until the wart is gone
Studies of effectiveness
Duct tape occlusion therapy is not yet proven to be effective, with some studies showing some effectiveness, and others finding no significant efficacy. One study by Focht et al. found that the duct tape method was 85% effective, compared to a 60% success rate in the study's cryotherapy group.[2]
Another study by Wenner and coworkers, however, found no statistically significant effect in a double-blind, randomized and controlled clinical trial in 90 adults when transparent duct tape was compared to mole skin.[3] There was no statistically significant difference for resolution of the target wart between patients treated with moleskin versus patients treated with duct tape. Eight of 39 patients [21%] in the treatment group vs 9 of 41 patients in the control group [22%] had complete resolution of the target wart. Fewer of the patients achieving resolution of their wart in the moleskin group had recurrence of their wart.
Of the patients who had complete resolution, 6 (75%) in the treatment group and 3 (33%) in the control group had recurrence of the target wart by the sixth month. "Whether or not the standard type of duct tape is effective is up in the air," said co-author Dr. Rachel Wenner of the University of Minnesota, who started the new study as a medical student. "Theoretically, the rubber adhesive could somehow stimulate the immune system or irritate the skin in a different manner."[4]
Another randomized clinical trial found that DTOT was more effective than cryotherapy at removing warts[5].
A second trial found duct tape had a modest but nonsignificant effect on wart resolution[6]. The statistical power of the latter trial has been questioned.[7]
One randomized controlled trial found that more people having occlusive treatment with duct tape than cryotherapy had complete clearance of warts at 2 months. The randomized controlled trial did not assess recurrence.[8].
See also
Plantar warts
References
^ Common wart self care by Mayo Clinic staff February 17, 2006
^ Focht DR, Spicer C, Fairchok MP (Oct 2002). "The efficacy of duct tape vs cryotherapy in the treatment of verruca vulgaris (the common wart)". Arch Pediatr Adolesc Med 156 (10): 971�PMID 12361440. http://archpedi.ama-assn.org/cgi/pmidlookup?view=long&pmid=12361440.(reviewed in Miller KE (Feb 2003). "Duct tape more effective than cryotherapy for warts". American Family Physician 67 (3). http://www.aafp.org/afp/20030201/tips/8.html.& DeMichele J (2003). "A new medical breakthrough: wart to do when verruca vulgaris attacks". Journal of Young Investigators 7 (5). http://www.jyi.org/volumes/volume7/issue5/features/demichele.html.
^ Wenner R, Askari SK, Cham PM, Kedrowski DA, Liu A, Warshaw EM (Mar 2007). "Duct tape for the treatment of common warts in adults: a double-blind randomized controlled trial". Arch Dermatol 143 (3): 309� doi:10.1001/archderm.143.3.309. PMID 17372095.
^ Study Casts Doubt on Duct Tape Wart Cure. March 21, 2007.
^ Focht DR, Spicer C, Fairchok MP (Oct 2002). "The efficacy of duct tape vs cryotherapy in the treatment of verruca vulgaris (the common wart)". Arch Pediatr Adolesc Med 156 (10): 971�PMID 12361440. http://archpedi.ama-assn.org/cgi/pmidlookup?view=long&pmid=12361440.
^ de Haen M, Spigt MG, van Uden CJ, van Neer P, Feron FJ, Knottnerus A (Nov 2006). "Efficacy of duct tape vs placebo in the treatment of verruca vulgaris (warts) in primary school children". Arch Pediatr Adolesc Med 160 (11): 1121�doi:10.1001/archpedi.160.11.1121 http://archpedi.ama-assn.org/cgi/content/abstract/160/11/1121. PMID 17088514.
^ Van Cleave J, Kemper AR, Davis MM (Nov 2006). "Interpreting negative results from an underpowered clinical trial: warts and all". Arch Pediatr Adolesc Med 160 (11): 1126�doi:10.1001/archpedi.160.11.1126. PMID 17088515. http://archpedi.ama-assn.org/cgi/content/full/160/11/1126.
^ Duct tape occlusion in treatment of Warts - BMJ Clinical Evidence
Categories: Medical treatments | Alternative medical treatments
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