用腮腺炎、麻疹、风疹 (MMR) 疫苗治疗复发性尖锐湿疣:病例报告

Shelly Lavenia Sambodo, P. Mawardi, Endra Yustin Ellistasari, Ammarilis Murastami
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摘要

背景:尖锐湿疣(CA)是由人类乳头瘤病毒(HPV)引起的一种常见性传播感染,由于复发率高,给治疗带来了挑战。虽然治疗方法多种多样,但使用腮腺炎、麻疹、风疹(MMR)疫苗进行局部免疫治疗在治疗 HPV 相关疾病方面前景看好。本病例报告探讨了腮腺炎、麻疹、风疹(MMR)疫苗的局部免疫疗法在治疗复发性 CA 中的应用。病例介绍:一名 24 岁女性的大阴唇和肛周出现复发性 CA 病变。尽管之前曾使用过三氯乙酸(TCA)治疗,但病变仍再次出现。她两次在鞘内注射麻风腮疫苗,每次间隔一个月,结果在第二次注射后的六周内病变完全消退。在 6 个月的随访期间未发现复发,患者仅报告注射部位有轻微、短暂的疼痛。结论:本病例报告强调了局部注射麻风腮疫苗作为一种有效且耐受性良好的复发性 CA 治疗方案的潜力。为验证这些研究结果并制定最佳治疗方案,有必要开展进一步的研究。
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Intralesional Mumps, Measles, Rubella (MMR) Vaccine as Therapy for Recurrent Condyloma Acuminata: A Case Report
Background: Condyloma acuminata (CA), a prevalent sexually transmitted infection caused by the human papillomavirus (HPV), presents challenges in treatment due to its high recurrence rate. While various treatment modalities exist, intralesional immunotherapy with the mumps, measles, rubella (MMR) vaccine has shown promise in managing HPV-related conditions. This case report investigates intralesional MMR vaccine in treating recurrent CA. Case presentation: A 24-year-old female presented with recurrent CA lesions on the labia majora and perianal region. Despite prior treatment with trichloroacetic acid (TCA), the lesions had reappeared. Intralesional MMR vaccine injections were administered twice, one month apart, resulting in complete lesion resolution within six weeks of the second injection. No recurrence was observed during a six-month follow-up period, and the patient reported only mild, transient pain at the injection sites. Conclusion: This case report highlights the potential of intralesional MMR vaccine as an effective and well-tolerated treatment option for recurrent CA. Further research is warranted to validate these findings and establish optimal treatment protocols.
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