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Intralesional Candida antigen in the treatment of common warts has provided a new approach to the management of recalcitrant verruca vulgaris. Several authors have presented results using this approach for resistant warts, with good results.^1-2 To date, there have been no reports or studies in which this modality was used for the treatment of facial flat warts, a challenging condition because of the location and typically high number of lesions. Warts that are unresponsive to standard therapy can be treated with intralesional Candida injections. We report the use of intralesional Candida antigen to successfully treat facial flat warts.

Report of a Case

A 13-year-old African American girl presented with a 4-year history of facial flat warts that were unresponsive to liquid nitrogen cryotherapy, 2 years of topical tretinoin therapy, and several months of topical imiquimod therapy (Figure 1). Because of the lack of improvement and the family's frustration with this chronic unremitting . . . [Full Text of this Article]

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