A NEW METHOD OF INTRALESIONAL BLEOMYCIN THERAPY IN THE TREATMENT OF RECALCITRANT WARTS

We have used a new technique of bleomycin injection to treat intractab le palmar, plantar and periungual warts. Following local anaesthesia w ith topical EMLA(TM) (lignocaine and prilocaine) cream, 1 mg/ml bleomy cin solution was dropped on to the wart and 'pricked' into the wart us ing a Monolet(TM) needle. We achieved 92% success rate which compares well with other authors whose success rates with intralesional bleomyc in vary between 33 and 92%, We conclude that this technique of intrale sional bleomycin therapy is an effective, safe and generally well tole rated treatment for recalcitrant warts.