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Wart Immune Therapy

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Wart Immune Therapy, Intralesional Candida Injection

  • See Also
  1. Cimetidine wart therapy
  2. Squaric Acid Wart Therapy
  • Indication
  1. Common Warts refractory to other treatments
    1. Not FDA approved (anecdotal support only)
  • Preparation
  1. Killed Candida (Monilia albicans)
  2. Used in Manitou control (1:1000 solution)
  • Application
  1. Preparation
    1. Mix equal parts of 1% Xylocaine without Epinephrine
    2. Use 30 gauge needle
    3. Choose largest wart
  2. Injection
    1. Inject 0.1 cc to 0.3 cc intradermal beside wart
    2. Wart should blanche with injection
  • Precautions
  1. Wear protective glasses
  2. Limit to 3 monthly injections
  • Efficacy
  1. Limited literature regarding use
  2. Limited clinical experience
  3. Anecdotal efficacy: 80%
  • Suppliers of Candida Antigen
  1. Greer Labs
  2. Allermed Labs (Candin)
    1. Standard use is for testing for DTH Response
    2. Address: P.O. 17540, San Diego, CA 92177-7540
    3. Phone: (858) 292-1060
    4. Cost: $76/1 ml vial (10 doses)
    5. Shelf life: 1 year
  • References
  1. (1990) AAFP Clinical Perspectives
  2. (1999) Pfenninger, Hot Topics in Procedures
  3. Johnson (2001) Arch Dermatol 137:451-5 [PubMed]