Evaluation of the effectiveness of combination therapy of recurrent anogenital (venereal) warts: results of an observational comparative clinical study

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Abstract

Background. In case of recurrent forms of the disease, combination therapy with the use of inducers interferons may be recommended.

Aims. To study the effectiveness of polysaccharides of Solanum tuberosum shoots (Panavir gel 0.002%) in the combined therapy of recurrent anogenital warts.

Methods. 60 patients: group 1 (n = 30) underwent radiowave destruction with Panavir gel 0.002% externally 2 times a day for 5 days before and 10 days after destruction, group 2 (n = 30) — radiowave destruction.

Results. Absence of itching and pain by day 5 was recorded in 27 (90.0%) patients of group 1 and 12 (40.0%) of group 2, after 10 days — in 30 (100%) and 26 (86.7%) (χ² = 4.285). Inflammatory erythema, edema and infiltration were absent after 10 days in all patients of group 1, but persisted in 7 (23,3%),12 (40.0%) and 2 (6.7%) patients of group 2 (χ² = 7.924). Epithelialization was observed for 5 days in 18 (60.0%) patients of group 1 and 10 (33.3%) patients of group 2, after 10 days — in 30 (100%) and 28 (93.3%) patients (χ² = 4.285). 90 days after therapy, relapses of the disease were recorded in 2 (6.7%) patients of group 1 and 6 (20.0%) patients of group 2 (p = 0.499), HPV elimination was observed in 11 (36.7%) and 10 (33.3%) patients (p = 0.967).

Conclusion. The effectiveness of Panavir gel 0.002% in the complex therapy of anogenital warts has been established in terms of reducing the severity of subjective and objective symptoms of the disease, as well as reducing the frequency of recurrence of rashes.

About the authors

Margarita R. Rakhmatulina

State Research Center of Dermatovenereology and Cosmetology

Author for correspondence.
Email: rahmatulina@cnikvi.ru
ORCID iD: 0000-0003-3039-7769
SPIN-code: 6222-8684
Scopus Author ID: 55312504700
ResearcherId: I-5449-2014

MD, Dr. Sci. (Med.), Professor

Russian Federation, 3 bldg 6, Korolenko street, 107076 Moscow

Natalia V. Bolshenko

Central Research Institute оf Epidemiology of the Federal Service on Customers’ Rights Protection and Human Well-Being Surveillance

Email: sanabol@mail.ru
ORCID iD: 0000-0001-7257-5231
SPIN-code: 1671-6476
ResearcherId: AAD-5375-2019

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Elena Yu. Novoselova

State Research Center of Dermatovenereology and Cosmetology

Email: novoselova@cnikvi.ru
ORCID iD: 0000-0003-1907-2592
SPIN-code: 6955-5842
Russian Federation, 3 bldg 6, Korolenko street, 107076 Moscow

Victoria L. Pak

Pirogov Russian National Research Medical University

Email: vika-pak_123@bk.ru
Russian Federation, Moscow

Sergei V. Stovbun

N.N. Semenov Federal Research Center for Chemical Physics Russian Academy of Sciences

Email: s.stovbun@chph.ras.ru
ORCID iD: 0000-0001-8820-9615

Dr. Sci. (Phys.-Math.)

Russian Federation, Moscow

Olga Yu. Arseenkova

N.A. Semashko National Research Institute of Public Health

Email: omasik@gmail.com
ORCID iD: 0000-0002-1440-524X

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

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2. Fig. 1. Calculation of the area of lesion of neoplasms and/or the area of the wound after the destruction of neoplasms on the skin and mucous membranes

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Copyright (c) 2024 Rakhmatulina M.R., Bolshenko N.V., Novoselova E.Y., Pak V.L., Stovbun S.V., Arseenkova O.Y.

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