Evidence map›Paper›PMID 40056255›Full record

ArticleArchives of dermatological research2025

Efficacy of intralesional acyclovir versus quadrivalent human papillomavirus vaccine for treatment of recalcitrant cutaneous warts: a clinical trial.

Mona Ibrahim Elyamany, Zakaria Mahran Obaid, Ibrahim Fouda

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Archives of dermatological research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Cutaneous papillomaviruses infection rewires fatty-acid metabolism.Frontiers in cellular and infection microbiology · 2026
    Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mona Ibrahim ElyamanyFaculty of Medicine, Damietta University, Damietta, Egypt.
Zakaria Mahran ObaidDermatology, Venereology, and Andrology Department, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Ibrahim FoudaDermatology, Venereology, and Andrology Department, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt. Ifouda77@gmail.com.ORCID https://orcid.org/0000-0002-4756-5100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Warts are the cutaneous manifestations of human papilloma virus infection. Immunotherapy with human papillomavirus (HPV) vaccines has been tried with promising outcomes. Acyclovir is an antiviral with established efficacy against DNA viruses, could become a possible revolutionary therapeutic option for warts. This study aims to assess the efficacy and safety of intralesional acyclovir versus quadrivalent human papilloma virus vaccine in treatment of recalcitrant cutaneous warts. A total of 60 patients with recalcitrant warts were assigned into 3 groups: group I, 20 patients received Intralesional injection of acyclovir, group II, 20 patient received intralesional quadrivalent HPV vaccine, and group III, 20 patients received intralesional injection of normal saline. The patients were followed up monthly for 3 months after the last injection to detect any recurrence. Complete clearance was observed in 8 patients (40%) in group I, 16 patients (80%) in group II and no response in group III. The most common side effects were pain (100%) among all groups, hemorrhagic eschars in group I(100%), edema in group II(30%) while the least was flu like symptoms (5%) in group II. both intralesional quadrivalent HPV vaccine and intralesional acyclovir seem to be promising, well-tolerated therapeutic options for the treatment of warts, with statistically significant superiority of the quadrivalent vaccine over acyclovir.

Indexed as

AcyclovirAntiviral AgentsHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18Papillomavirus InfectionsPapillomavirus VaccinesWartsAdolescentAdultChildFemaleHumansInjections, IntralesionalMaleMiddle AgedTreatment OutcomeYoung AdultAcyclovirAntiviral AgentsHuman Papillomavirus Recombinant Vaccine Quadrivalent, Types 6, 11, 16, 18Papillomavirus VaccinesAcyclovirHuman papillomavirusVaccineWart

Identifiers

PMID40056255

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.