TREATMENT OF CONDYLOMA ACUMINA WITH PODOPHYLLOTOXIN VERSUS COMBINATION THERAPY

Authors

  • Abdul Rashid
  • Zia -ur- Rehman
  • Wang Xiasheng

Abstract

Condyloma acuminata is growing problem due to its resistance to conventional
treatment, increased recurrence rate and its relationship with carcinoma. We have
designed this study to evaluate the efficacy, adverse effects and immunomadulating
effects of podophyllotoxin as a treatment modality of condyloma acuminate as
compared to podophyllotoxin plus interferon alpha-1 cream. Podophyllotoxin as
monotherapy and its combine1 ion therapy with interferon alpha-1 cream produced
complete response in 40% and 68% while recurrence in 48%> and 20% patients
respectively. Topical podophyllotoxin produced pain and inflammation while after its
combination with interferon alpha-1 cream. The incidence of adverse effects remained
the same. Lymphoblast transformation activity and natural Killer activity were
performed for every patient before either of treatment modalities and after only in case
of combination thereby.
KEY WORDS: Condyloma acuminate podophyllotoxin, interferon alpha-1
Lymphoblast transformation activity, Natural Killer activity.

References

Cobb MW. Human Papilloma virus infection J. Am. Acad.

Dermatol. 1990: 22:547-566

Malegczyk J. Majewski S. Jablonska S. et al. Abrogated NKCell lysis of human papilloma virus (HPV)-16-bearing

Keratinocytes in patients with precancerous and cancerous

HPV-induced anogenital lesions. Int. J. Cancer 1989;

:209-214.

Kerbs HB. Management of human Papilloma virus

associated genital lesions in men. Obstet & Gynaecol. 1989;

:312-316.

Schultz RE. Miller JW, Macdonald GR, et al. Clinical and

molecular evaluation of Acetowhite genital lesions in men.

J. Urol. 1990; 143: 920 -923.

Cauda R, Tyring SK, Grossi CE. et al. Patients with

condylom acuminatum exhibit decreased Interleukin-2 and

interferon gamma production and depressed natural killer

activity. J. Clin. Immunol. 1987; 07:304-311.

Amman AJ, Abrams D. Conant M. et al. Acquired

dysfunction in homosexual men, immunologic profile. Clin

Immun & Immunpath. 1983; 27:315-325.

Vesternen E. Meyer B, Cantell K, et al. Topical treatment of

flat vaginal condyloma with human leukocyte interferon.

Obstet. Gynaecol. 1984; 64:535-538.

Beutner KR, Conant MA, Friedman-Kien AE, et al. Patient

applied Podofilox for treatment of genital warts. Lancet

: 01: 831-834.

Von Krogh G. Penile condyloma acuminata: an

experimental model for evaluation of topical self-treatment

with 0.5-1% ethanoic preparations of Podophyllotoxin for

three days. Sex. Trans. Dis. 1981; 8:179-186.

Douglas JM Jr., Eron LJ, Judson FN, et al. A randomized

trial of combination therapy with intralesional interferon

alpha-2b and Podophyllin versus Podophyllin alone for the

therapy of anogenital warts. J. Infect. Dis. 1990; 162:52-59.

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How to Cite

Rashid, A., Rehman, Z. .- ur-., & Xiasheng, W. (1998). TREATMENT OF CONDYLOMA ACUMINA WITH PODOPHYLLOTOXIN VERSUS COMBINATION THERAPY. Journal of Ayub Medical College Abbottabad, 10(2), 23–27. Retrieved from https://jamc.ayubmed.edu.pk/jamc/index.php/jamc/article/view/4819