Question

Dear Judith Feinberg,M.D. I am hiv+ & have really bad plantar warts on both feet. My doctor has tried freezing, acid treatments & electro-cauterie, but nothing seems to work. She is suggesting that I pursue laser surgery. Would you concur? Any ideas?

Answer

I have also seen aggressive plantar warts (as well as genital warts) in HIV+s, including patients whose viral load is not detectable and whose T cells have improved. I don't know enough about laser surgery in this situation, but it's worth pursuing to get more information. Interferon therapy has been used in HIV-s with severe anogenital warts with some short-term success. I tried beta interferon therapy in one of my patients with severe plantar and finger warts, but it didn't do much. This is a tough situation.