II. Technique

  1. Diluted to 1-5 units/ml in sterile saline
  2. Inject with 0.5cc tuberculin syringe (#30 1/2 inch)
  3. Strictly limit application to wart
  4. Maximum dose
    1. Two units per treatment
    2. No more than 1 unit per individual wart
  5. May repeat after 2-3 weeks

III. Disadvantages

  1. Severe pain
  2. Hemorrhagic eschar
  3. Risk of scarring
  4. High cost ($300/vial)

IV. Precautions: Avoid acral lesions

  1. Risk of persistent digital vasospasm
  2. Risk of Raynaud's Syndrome

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