II. Indication
-
Common Warts refractory to other treatments
- Not FDA approved (anecdotal support only)
III. Preparation
- Killed Candida (Monilia albicans)
- Used in Manitou control (1:1000 solution)
IV. Application
- Preparation
- Mix equal parts of 1% Xylocaine without Epinephrine
- Use 30 gauge needle
- Choose largest wart
- Injection
- Inject 0.1 cc to 0.3 cc intradermal beside wart
- Wart should blanche with injection
V. Precautions
- Wear protective glasses
- Limit to 3 monthly injections
VI. Efficacy
- Limited literature regarding use
- Limited clinical experience
- Anecdotal efficacy: 80%
VII. Suppliers of Candida Antigen
- Greer Labs
- Allermed Labs (Candin)
- Standard use is for testing for DTH Response
- Address: P.O. 17540, San Diego, CA 92177-7540
- Phone: (858) 292-1060
- Cost: $76/1 ml vial (10 doses)
- Shelf life: 1 year
VIII. References
- (1990) AAFP Clinical Perspectives
- (1999) Pfenninger, Hot Topics in Procedures
- Johnson (2001) Arch Dermatol 137:451-5 [PubMed]