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Chiropody Clinical Papers Set 2
 

 

LONG TERM EXPERIENCE OF THE DENTRON BIOGUN IN VERRUCA PEDIS, MOSAIC VERRUCAE AND HAND WARTS

CLIVE J. VERNON MSSCh, MBChA

At the 1995 BChA Annual Convention, I presented a paper entitled: "Three Years' Experience With The Dentron Biogun". This was a subjective review of the use of the Biogun in over 200 patients suffering from verruca pedis, mosaic verrucae, and hand warts. The summary of results, which was published in the SMAE Journal (Winter ed. 1995) were as follows:

number of patients: 207

male/female ratio: 50:50

3 patients did not complete treatment

204 totally cured = 100% success

The purpose of this paper is to demonstrate that the protocol that I have employed in my most recent 121 patients has resulted in the same degree of success. To give greater authenticity I have annotated the details of all 121 patients by initial, age, sex, treatment, and outcome, and given in more detail a few individual cases which might have an unusual element about them. In the "Outcome" column of the Table of Results I have noted in a few cases where pellets or areas of keratotic tissue remained after treatment: but the verrucae themselves were cured in all cases.

It is worthwhile to remind ourselves that the Dentron Biogun is the first and only method of an electronic biocide which has proved so successful in treating viral warts and similar lesions. It does so by bombarding the verruca with a concentrated stream of electronically-generated hydrated superoxide radical anions. In microbial conditions this weakens the cell membrane of unicellular micro-organisms and literally 'bursts' the organism. It also disrupts the membrane of virally invaded keratinous sites as seen in verrucae conditions.

My modus operandi has remained virtually the same as I described in the 1995 paper: pare/abrade the verruca site, the subject the lesion to approximately 3 minutes with the Biogun. Then apply a thin film of a suitable keratolytic. I use Occlusal, Duofilm or 40% salicylic acid on adults, and Salactol or Compound W on children under 12 years of age. If they are already using a proprietary preparation such as Bazooka, . then they would continue to use that especially if that is what has been prescribed by their G.P.

The patient is given strict instructions on how to apply to the verruca site each night before retiring, remembering to abrade the site first for about 30 seconds with an emery board. I then see the patient within 5 - 10 days depending upon circumstances, when exactly the same procedure is carried out as at the first appointment. If a further session is required, this is again made within 5 - 10 days. A follow-up visit is arranged to confirm that the verruca is dead, and to ascertain if any further treatment is necessary to any hyperkeratotic tissue, or scarring from previous over-drastic therapies.

NAME

SEX

AGE

DIAGNOSIS

TREATMENT

OUTCOME
V.H. F 16 VP 5th LT B/G 4min+CO.W x4 Cured
J.H. F 41 VP x2 B/G 4min+D/F x2 Cured
D.J. M 14 VP x2 B/G 3min+D/F x3 Cured
S.J. M 7 VP x3 B/G 2min+BZ x2 Cured
M.J. M 11 VP x3 B/G 3min+OCC x2 Cured
M.K. M 11 VP x2 B/G 4min+CO,W x2 Cured
J.K. M 9 VP x2 B/G 3min+BZ x4 Cured (Pelleting)
L.L. F 6 VP x4 B/G 4min CO.W x3 Cured
G.L. F 8 VP x3 B/G 4min+OCC x4 Cured
M.L. M 7 MOS. VP+1VP B/G 4min+BZ x3 Cured
N.L. F 19 VP B/G 3min x2 Cured
P.L. F 37 VP(Heel) B/G 3min+SA x2 Cured
N.L. F 17 MOS+5 xVP B/G 8min+CO.W x4 Cured
H.L F 8 VP x2 B/G 5min+OCC x2 Cured
E.L. F 8 MOS+2 x VP B/G 3min+D/F x2 Cured
A.L. F 31 VP x3 B/G 3min x2 Cured
C.L. F 7 VP x2 B/G 3min+CO.W x2 Cured
B.L. M 10 VP x3 B/G 5min+D.F x5 Cured
G.M. M 12 VP B/G 5min+BZ x2 Cured
T.M. M 34 VP x1 B/G 3min+(Diabetic) Cured
J.M. F 8 VP x4 B/G 4min+D/F x5 Cured
R.M F 10 MOS+2 xVP B/G 5min+OCC x3 Cured
A.M. F 7 VP x5 B/G 4min+3 Cured
L.M. F 10 VP x1 B/G 3min+D/F x2 Cured
G.M. F 5 VP x9 B/G 4min+D/F x3 Cured
R.M. M 43 4x VP+F.Wart B/G 5min+SA x3 Cured
V.M. F 15 VP x2 B/G 3min+OCC x3 Cured
H.O M 3 VP B/G 3min+OCC x2 Cured
S.P. F 8 VP B/G 3min+OCC x3 Cured (Pelleting)
N.P. M 8 VP x3 B/G 3min+CO.W x2 Cured
W.P. M 8 VP x2 B/G 5min+BZ x3 Cured
E.P. F 9 VP x2 B/G 5min+CO.W x2 Cured
L.P. F 44 VP B/G 4min+CO.W Cured
K.P. F 19 VP x3 B/G 3min+D/F x2 Cured
N.P. F 9 VP x3 B/G 5min+CO.W x2 Cured
C.P> F 41 VP x2(Heel) B/G 5min+SA x3 Cured
J.P. M 11 MOS VP B/G 5min+CO.W x3 Cured
S.P. M 48 VP x2 B/G 5min+OCC x3 Cured
J.P. F 31 PVP B/G 4min+CO.W x3 Cured
J.P. F 9 VP B/G 3min+D/F x3 Cured
H.R. F 5 VPx3 Toes B/G 3min+CO.W x2 Cured
J.R. F 10 VP B/G 3min+CO.W Cured
L.R. F 5 PVP B/G 4min+CO.W x2 Cured
T.R. M 4 MOS VP B/G 6min+CO.W x2 Cured
A.R. M 22 VPx3(Heel) B/G 5min+OCC x2 Cured
N.R. F 68 VP x2 B/G 3min+CO.W x2 Cured
C.S. M 11 VP x7+MOS B/G 5min+OCC x2 Cured
J.S F 7 VP x13 B/G 8min+CO.W x5 Cured
E.S F 41 VP B/G 3min+CO.W x4 Cured
M.S. F 10 MOS VP B/G 5min+BZ x4 Cured
G.S. F 33 VP x2 B/G 3min+CO.W x2 Cured
J.S F 54 VP x3 B/G 3min+OCC x2 Cured
C.S F 17 VP x5 B/G 5min+BZ x3 Cured
C.S. F 29 VP x3 B/G 3min+BZ x2 Cured
J.T. F 28 VP x2 B/G 4min+SA x2 Cured
J.T. F 43 VP B/G 3min+BZ x3 Cured (Pelleting)
P.T. M 45 VP x2 B/G 4min+OCC x3 Cured
K.W. F 26 VP x3 B/G 4min+BZ x3 Cured
S.A. M 7 VP on Heel B/G 3min+OCC x2 Cured
S.A. F 46 P/VP B/G 3min+BAZ x3 Residual Keratosis
L.A. F 16 Hand Wart B/G 4min x2 OCC.PRN
T.A. F 19 VP 2nd LT B/G 6min+CO.w x2 Cured
L.A. F 19 MOS VP B/G 3min+OCC x2 Cured
K.B. F 41 MOS VP(6 Years) B/G 4min+OCC x4 Cured
S.B. F 9 VP LT HX B/G 3min+CO.W x2 Cured
J.B. F 12 Finger Warts B/G 5min+CO.W x5 Cured
J.B. F 16 P/VP B/G 3min+OCC x2 Cured
S.B. M 37 VP 2nd RT B/G 4min+BZ x2 Cured
R.B. F 14 MOS VP RT HX+VP x3 B/G 5min+OCC x3 Residual Pelleting
S.B. F 56 P/VP B/G 3min+OCC Cured
L.B. F 31 P/VP B/G 3min Cured
S.B. M 45 P/VP B/G 6min+D/F x3 Residual Pelleting
A.B. M 44 VP(Heel) B/G 4min+OCC Cured
M.B. M 7 Finger Warts B/G 5min+OCC x3 Cured
T.B-R. M 15 MOS VP Both Feet B/G +OCC x5 Residual Pelleting
S.B. F 33 P/VP B/G 4min+D/F x3 Cured
R.B. F 6 P/VP x2 B/G 3min+SA x3 Cured
L.B. F 11 MOS VP B/G 5min+OCC x3 Cured
K.B. F 15 MOS VP+VP(Heel) B/G 5min+CO.W x3 Cured
L.B. F 40 P/VP x3 B/G 3min+BZ x3 Cured
A.B. F 17 MOS VP+VP x3 B/G 5min+OCC x3 Cured (Pelleting)
R.B. F 10 P/VP B/G 2min+CO.W x2 Cured
B.C. F 6 P/VP x6 B/G 3min+OCC x2 Cured
G.C. F 6 P/VP B/G 3min+CO.W x2 Cured
E.C. F 11 Finger Wart B/G 3min+D/F x2 Cured
S.C. F 32 P/VP x2 B/G 5min+CO.W x5 Cured
D.C. F 10 P/VP x9 B/G 8min+OCC x2 Cured
A.C. F 8 P/VP x4 B/G 3min+OCC x3 Cured
P.C. F 8 P/VP x4 B/G 3min+OCC x3 Cured
N.D. M 21 P/VP x2 B/G 3min x3 Cured (Diabetic)
C.D. F 25 P/VP x6 B/G 4min+OCC x3 Cured
E.D. F 24 MOS VP Both Feet B/G 4min+CO.W x2 Cured
E.D-M. F 13 P/VP x3 B/G 3min+D/F x2 Cured
E.E. F 9 P/VP B/G 3min x3 Cured
M.E. M 60 P/VP x2 B/G 4min+OCC x2 Cured
C.G. F 27 MOS VP B/G 5min+OCC x3 Cured
P.G. M 5 VP 3rd RT B/G 3min+CO.W x2 Cured
M.G. F 35 P/VP B/G 4min+CO.W x3 Cured
K.G. F 10 MOS VP B/G 6min+CO.W x3 Cured
T.G. F 7 P/VP B/G 3min+D/F Cured
N.G. F 15 P/VP x3 B/G 3min+OCC x3 Cured
E.G. M 13 VP(Heel) B/G 3min+OCC x2 Cured
D.H. M 39 P/VP B/G 3min Cured
T.H. F 38 P/VP B/G 4min+OCC x2 Cured
M.H. F 11 Knee Warts B/G 1min each wart x2 Cured
S.H. F 29 P/VP x7 B/G 5min+D/F x2 Cured
L.H. F 13 P/VP B/G 3min+OCC x2 Cured
M.H. M 27 P/VP+Finger Wart B/G 3min+CO.W x4 Cured
K.H. F 12 P/VP x4 B/G 3min+D/F x3 Cured (Pelleting)
S.H. F 13 P/VP x2 B/G 4min+SALAC x3 Cured
R.H. M 15 P/VP x4 B/G 2min+OCC x4 Cured
C.H. F 8 x8 VP(Heel) B/G 5min+BZ x5 Cured
D.H. M 14 P/VP x2 B/G 3min+D/F x3 Cured
L.H. F 37 P/VP x2 B/G 3min+BX x3 Cured
S.H. M 54 P/VP B/G 3min+CO.W x3 Cured
J.W. F 7 VP x2 B/G 2min+CO.W x2 Cured
T.W. F 47 F.Warts x3 B/G 3min+SA x5 Cured
G.Y. F 23 VP x5 B/G 6min+OCC x4 Cured
S.Y. F 7 F Warts x7 B/G 3min+SAL x3 Cured
L.Y. M 8 VP B/G 1min+CO.W x2 Cured

 

GLOSSARY OF TERMS

V.P. Verruca pedis   P/VP plantar verruca pedis
B/G Biogun   OCC Occlusal
S.A. Salicylic acid   D/F Duofilm
X 2 2 treatment sessions   X 3 3 treatment sessions, etc
HX hallux   MOS. mosaic verrucae

 

Many of these patients have been referred to me after self treatment, G.P .referral, or from other chiropodists. The magnitude of the verruca problem was demonstrated to me after I appeared on the Richard and Judy morning show on television, when I demonstrated the Biogun on the medical slot, when it was dealing with major British inventions that had been accepted by the Millennium Commission for exhibiting in the Dome. I had calls from all over the country with frantic patients who had tried every treatment and potion ever invented for the removal of warts and verrucae.

Here are a few of the more interesting cases:

  1. K.B., age 41, had been treated with salicylic acid, cryosurgery, tea tree oil. banana skins, silver nitrate and Bazooka. there was heavy scarring, as well as an active verruca which responded to 4 sessions with the Biogun, and by providing Silipos MT protectors to ease the pressure on the MT head.
  2. S.B., age 33, was also able to obtain relief by the use of a Silipos Dot positioned over the MT head and held into place with a nylon socklet.
  3. P.G. aged 5 presented with a verruca and multiple warts which I referred correctly to the G.P. as it was a case of periungual fibromas, which nonetheless had been treated by another chiropodist as verrucas.
  4. N.L. aged 19 also responded to verruca treatment with the Biogun, but the multiple warts on other parts of the body were correctly diagnosed as molluscum contagiosum. I have had no follow-up on this case other than that they have been referred to a dermatologist.
  5. J.P., aged 31, suffered severe scarring from laser treatment from a Harley street chiropodist at the cost of £550, but still had an active verruca which responded after 3 sessions with the Biogun.

All the above treatments have been carried out virtually pain free, with no side effects. Epileptics respond well, and the method has the blessing of their Chief Medical Officer. I can only conclude from my own experience that the Dentron Biogun is a safe, effective and economical method of treatment for verrucae, warts and other viral lesions of the epidermis, and will continue to be a valuable tool in the hands of any chiropodist.

 

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