Abstract
A 32-year-old man attended Primary Care clinic for treatment of warts that had been present around his fingernails for 1 year. Common warts, or verruca, are caused by the human papillomavirus. They can affect people of all ages but are most common in school-aged children. Warts are contagious and they are spread through contact. They appear as cauliflower-like, rough papules that may feature central black dots. They can resolve on their own or persist for years if left untreated. The preferred treatment for warts is cryosurgery with liquid nitrogen, although alternate tissue destruction methods such as electrodesiccation or excision may also be used.
This is a preview of subscription content, log in via an institution to check access.
References
Kyriakis K, Pagana G, Michalides C, Emmanuelides S, Palamaras I, Terzoudi S. Lifetime prevalence fluctuations of common and plane viral warts. J Eur Acad Dermatol Venereol. 2007;21(2):260–2.
De Koning MN, Quint KD, Bruggink SC, Gussekloo J, Bouwes Bavinck JN, Feltkamp MC, Quint WG, Eekhof JA. High prevalence of cutaneous warts in elementary school children and ubiquitous presence of wart-associated HPV on clinically normal skin. Br J Dermatol. 2015. doi:10.1111/bjd.13216. Accessed 24 Oct 2014.
Herschthal J, McLeod MP, Zaiac M. Management of ungual warts. Dermatol Ther. 2012;25(6):545–50.
Riddel C, Rashid R, Thomas V. Ungual and periungual human papillomavirus-associated squamous cell carcinoma: a review. J Am Acad Dermatol. 2011;64(6):1147–53.
Tosti A, Piraccini BM. Warts of the nail unit: surgical and nonsurgical approaches. Dermatol Surg. 2001;27(3):235–9.
Zimmerman EE, Crawford P. Cutaneous cryosurgery. Am Fam Physician. 2012;86(12):1118–24.
Ko J, Bigby M. Randomized controlled trial of cryotherapy with liquid nitrogen vs topical salicylic acid vs wait-and-see for cutaneous warts. Arch Dermatol. 2012;148(7):840–2.
Kwok CS, Gibbs S, Bennett C, Holland R, Abbott R. Topical treatments for cutaneous warts. Cochrane Database Syst Rev. 2012;9, CD001781.
Ahn CS, Huang WW. Imiquimod in the treatment of cutaneous warts: an evidence-based review. Am J Clin Dermatol. 2014;15(5):387–99.
Soni P, Khandelwal K, Aara N, Ghiya BC, Mehta RD, Bumb RA. Efficacy of intralesional bleomycin in palmo-plantar and periungual warts. J Cutan Aesthet Surg. 2011;4(3):188–91.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Reich, D., Psomadakis, C.E., Buka, B. (2017). Periungual Warts. In: Top 50 Dermatology Case Studies for Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-18627-6_9
Download citation
DOI: https://doi.org/10.1007/978-3-319-18627-6_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-18626-9
Online ISBN: 978-3-319-18627-6
eBook Packages: MedicineMedicine (R0)