Wednesday, July 19, 2017

Plantar Warts after Heart Transplant


A 25-year-old woman who had undergone orthotopic heart transplantation presented to a plastic surgery clinic with a 4-year history of extensive warts on both feet.  See:
Severe Plantar Warts in an Immunocompromised Patient
Gehaan F. D’Souza, M.D., and James E. Zins, M.D.
N Engl J Med 2017; 377:267July 20, 2017DOI: 10.1056/NEJMicm1616238
 Note:  This is an important Clinical Image. 
Topical cidofovir (used after debridment) is ~ $300 per 5 ml.  Seems cost-effective in this setting.

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Plantar Warts after Heart Transplant

A 25-year-old woman who had undergone orthotopic heart transplantation presented to a plastic surgery clinic with a 4-...