Topical zinc oxide vs. salicylic acid-lactic acid combination in the treatment of warts

Int J Dermatol. 2007 Apr;46(4):427-30. doi: 10.1111/j.1365-4632.2006.03138.x.

Abstract

Background: Warts are a common dermatologic problem. Treatment is painful, prolonged, and can cause scarring.

Objective: To evaluate topical zinc oxide for the treatment of warts.

Methods: This was a randomized, double-blind controlled trial of 44 patients. Twenty-two patients were given topical zinc oxide 20% ointment, and the other 22 received salicylic acid 15% + lactic acid 15% ointment twice daily. All patients were followed up for 3 months or until cure, whichever occurred first. All patients were observed for side-effects.

Results: Sixteen patients in the zinc group and 19 in the salicylic acid-lactic acid group completed the study. In the zinc oxide-treated group, 50% of the patients showed complete cure and 18.7% failed to respond, compared with 42% and 26%, respectively, in the salicylic acid-lactic acid-treated group. No patients developed serious side-effects.

Conclusion: Topical zinc oxide is an efficacious, painless, and safe therapeutic option for wart treatment.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Administration, Cutaneous
  • Adolescent
  • Adult
  • Dermatologic Agents / administration & dosage*
  • Double-Blind Method
  • Drug Therapy, Combination
  • Female
  • Humans
  • Lactic Acid / administration & dosage
  • Male
  • Middle Aged
  • Ointments
  • Salicylic Acid / administration & dosage
  • Skin Diseases, Viral / drug therapy*
  • Skin Diseases, Viral / pathology
  • Treatment Outcome
  • Warts / drug therapy*
  • Warts / pathology
  • Zinc Oxide / administration & dosage*

Substances

  • Dermatologic Agents
  • Ointments
  • Lactic Acid
  • Salicylic Acid
  • Zinc Oxide