Therapeutic and diagnostic difficulties concerning verrucae
of the nail apparatus – a description of selected cases

Andrzej K. Jaworek; Judyta Maciejowska-Podosek; Karolina Englert; Magdalena Sarek; Anna Wojas-Pelc

doi:10.5114/dr.2019.92739

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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6/2019
vol. 106

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abstract:

Case report

Therapeutic and diagnostic difficulties concerning verrucae of the nail apparatus – a description of selected cases

Andrzej K. Jaworek

¹

,

Judyta Maciejowska-Podosek

¹

,

Karolina Englert

²

,

Magdalena Sarek

²

,

Anna Wojas-Pelc

¹

Department of Dermatology, Jagiellonian University Medical College, Krakow, Poland/Katedra i Klinika Dermatologii, Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków, Polska

Department of Dermatology, University Hospital, Krakow, Poland/Klinika Dermatologii, Szpital Uniwersytecki, Kraków, Polska

Dermatol Rev/Przegl Dermatol 2019, 106, 662–670

DOI: https://doi.org/10.5114/dr.2019.92739

Online publish date: 2020/02/07

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Verruca is a general term for lesions that are clinical manifestations of an infection with human papillomavirus (HPV). A particularly difficult (both diagnostically and therapeutically) site of verrucae is the nail apparatus within which anatomical conditions significantly hinder successful treatment of these common skin infections. The aim of the article is to present a series of three cases of patients with verrucae within the nail apparatus, including one case with a secondary involvement of the vermillion boarder due to biting and chewing the nail apparatus area. Diagnostics and treatment of nail apparatus verrucae constitute a special challenge in everyday dermatological practice due to its unique and hard-to-reach anatomical site as well as the risk for secondary HPV infections and development of nail unit squamous cell carcinoma.

keywords:

Therapeutic and diagnostic difficulties concerning verrucae of the nail apparatus – a description of selected cases

Andrzej K. Jaworek 1 , Judyta Maciejowska-Podosek 1 , Karolina Englert 2 , Magdalena Sarek 2 , Anna Wojas-Pelc 1

verrucae, nail apparatus, nail unit squamous cell carcinoma

Andrzej K. Jaworek

¹

,

Judyta Maciejowska-Podosek

¹

,

Karolina Englert

²

,

Magdalena Sarek

²

,

Anna Wojas-Pelc

¹