Xanthoma TCA cautery

Xanthoma TCA cautery

Topically applied dichloroacetic and trichloroacetic acid are described in the literature for the treatment of xanthelasma. Typically, the technique involves painting the lesions using a cotton-tipped applicator in a circular fashion with the greatest amount of acid applied at the margin of the lesions

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Wart Treatments

Warts are notoriously difficult to treat or remove, particularly if they have been present for a long time, are large, or multiple in nature. However, with persistence, cure rates of up to 70% are possible.

More suitable for smaller, isolated warts. These include cryotherapy with liquid nitrogen (often used for verruca warts), laser therapy or surgical wart removal with a curette.

There are many over the counter topical agents available, but stronger wart creams, particularly with Salicylic Acid, do have a better success rate. Treatment, however, is prolonged (for eight to 12 weeks).

Treatments designed to stimulate the immune system to get rid of warts are most suitable for multiple warts, and include Imiquimod crème. Oral agents taken over a period of time to try and stimulate the immune system include Zinc supplements and drugs such as Cimetidine and Ranitidine.

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