Perspective – Frost or Acid for Plantar Warts
Thursday, September 01, 2011
Elsevier Global Medical News
BY JON O. EBBERT, M.D., AND ERIC G. TANGALOS, M.D.
The Problem
A 36-year-old mechanic presents to you for a 4-week history of feeling as if he is “walking on a pebble.” You examine his foot and determine that he has a plantar wart. You pare it down and apply liquid nitrogen. No specific follow-up plan was provided. He returns to you 5 weeks later with the same problem. You pare it down and freeze it again. He calls your office 1 month later and wonders if he should come in for freezing or if he should try an over-the-counter salicylic acid treatment that his cousin told him about. He continues to have pain with walking and is currently limping. You are uncertain as to which remedy – liquid nitrogen or salicylic acid – is better for the treatment of plantar warts.