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intralesional injection of Candida antigens for treating eyelid warts is supposed to have less destructive effect than other surgical interventions
Despite many surgical and interventional modalities of treating ocular warts, all have a destructive nature for this delicate tissue with a high recurrence rate. intralesional injection of Candida antigens was suggested to be an effective and safe treatment for such a condition aim: Providing safe and effective treatment of ocular wart. objective:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| patients with eyelid warts will receive treatment in the form of intralesional injection of Candida | Experimental | Intralesional injection of 0.2 ml of 1/1000 solution of Candida albicans antigen using an insulin syringe directly into the warts; Candida albicans 1:20 w/v 10 ml vial (Allergy Laboratories, INC. Oklahoma City, USA.). The same injection was repeated every 2 weeks until complete clearance for a maximum of six treatment sessions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intralesional injection of Candida albicans 1:20 w/v 10 ml vial (Allergy Laboratories, INC. Oklahoma City, USA.) | Biological | Intralesional injection of 0.2 ml of 1/1000 solution of Candida albicans antigen using an insulin syringe directly into the warts; Candida albicans 1:20 w/v 10 ml vial (Allergy Laboratories, INC. Oklahoma City, USA.). The same injection was repeated every 2 weeks until complete clearance for a maximum of six treatment sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| complete response | to report the complete response defined by the efficacy of intralesional injection of Candida antigen in achieving complete disappearance of eyelid warts and return to normal skin | after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions |
| Measure | Description | Time Frame |
|---|---|---|
| partial response | to report Partial response which will be considered when wart regress in size by 50%-99%. | after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions |
| Failure |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ayman Marie, Professor | Professor of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Egypt | Principal Investigator |
| Ghada Boghdadi, Professor | Professor of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Egypt | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zagazig University | Zagazig | Zagazig | 44519 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31328869 | Background | Marei A, Nofal A, Alakad R, Abdel-Hady A. Combined bivalent human papillomavirus vaccine and Candida antigen versus Candida antigen alone in the treatment of recalcitrant warts. J Cosmet Dermatol. 2020 Mar;19(3):758-762. doi: 10.1111/jocd.13077. Epub 2019 Jul 22. | |
| 26991521 | Background | Aldahan AS, Mlacker S, Shah VV, Kamath P, Alsaidan M, Samarkandy S, Nouri K. Efficacy of intralesional immunotherapy for the treatment of warts: A review of the literature. Dermatol Ther. 2016 May;29(3):197-207. doi: 10.1111/dth.12352. Epub 2016 Mar 15. |
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| ID | Term |
|---|---|
| D015817 | Eye Infections |
| ID | Term |
|---|---|
| D007239 | Infections |
| D005128 | Eye Diseases |
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to report failure which will be considered if less than 50% decrease in wart size.
| after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions |
| complications | to report any complications in the form of hypersensitivity reaction, erythema, or induration | after maximum 6 treatment sessions of intralesional injection with 2 weeks between the successive sessions |
| 33410249 | Background | Shaker ESE, Doghim NN, Hassan AM, Musafa SS, Fawzy MM. Immunotherapy in cutaneous warts: comparative clinical Study between MMR vaccine, tuberculin, and BCG Vaccine. J Cosmet Dermatol. 2021 Aug;20(8):2657-2666. doi: 10.1111/jocd.13921. Epub 2021 Jan 6. |