Interferon alpha-2b treatment of symptomatic chronic vulvodynia associated with koilocytosis.

Abstract:

:In an open study with identical criteria for diagnosis, 16 female patients with typical symptoms of chronic vulvodynia associated with acetowhitening of the vestibular epithelium and koilocytosis in biopsy specimens received recombinant interferon alpha-2b 5 MIU intralesionally 3 times weekly for 3 weeks or subcutaneously 3 times weekly for 8 weeks. Three months after end of therapy, clinical symptoms had disappeared in 7 (70%) of the 10 patients treated intralesionally, compared with only one (16%) of the 6 patients treated subcutaneously. In addition, the last 3 (30%) patients in the first group had a partial response to therapy. The acetowhitening persisted in all patients. The koilocytosis remained unchanged in 13 (81%) of the 16 patients. Our results indicate that recombinant interferon alpha-2b administered intralesionally seems to be efficacious in reducing clinical symptoms in vulvodynia with suspected human papillomavirus infection but does not eliminate the infection. Subcutaneous administration had neither symptomatic nor antiviral effect. A placebo-controlled study is needed, but with our present knowledge we recommend intralesionally administered interferon as a symptomatic treatment of vulvodynia.

journal_name

Acta Derm Venereol

authors

Larsen J,Peters K,Petersen CS,Damkjaer K,Albrectsen J,Weismann K

doi

10.2340/0001555573385387

subject

Has Abstract

pub_date

1993-10-01 00:00:00

pages

385-7

issue

5

eissn

0001-5555

issn

1651-2057

journal_volume

73

pub_type

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