Image Article
Verruca Vulgaris on the Ingrown Toenail: Clinical Image
Alaoui Aicha E*, Rhizlane C, Sara E, Zakia D, Hanane B and Mernissi
Corresponding Author: Alaoui Aicha E, Route Sefrou N55, Fez, Morocco
Received: January 09, 2020; Revised: January 28, 2020; Accepted: June 22, 2020
Citation: Aicha EA, Rhizlane C, Sara E, Zakia D, Hanane B, et al. (2020) Verruca Vulgaris on the Ingrown Toenail: Clinical Image. Dermatol Clin Res, 6(1): 358-359.
Copyrights: ©2020 Aicha EA, Rhizlane C, Sara E, Zakia D, Hanane B et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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We report a 20 year old who visited our department for an ingrown nail. Physical examination revealed an exophytic keratotic projection in the lateral fold of the ingrown nail. Dermoscopy revealed a papillomatous appearance, hyperkeratosis with red dot or loop, surrounded by a whitish halo. On the basis of clinical and dermoscopy examination, final diagnosis of Verruca vulgaris on the ingrown toenail was given. Surgical excision was performed and the histopathological examination confirmed the diagnosis of Verruca vulgaris. Verruca vulgaris are benign growths caused by inoculation of human papillomavirus (HPV). Predisposing factors are immunosuppression, trauma (including onychophaty) and exposure to water (hyperhidrosis, butchers and dishwashers). Commonly used therapies include surgical excision, topical salicyclic acid, imiquimod, 5-fluorouracil or retinoids; CO2 laser, cryotherapy using liquid nitrogen; Candida albicans antigen; and intralesional bleomycin.

1.       Tschandl P, Rosendahl C, Kittler H (2014) Cutaneous human papillomavirus infection: Manifestations and diagnosis. Curr Probl Dermatol 45: 92-97.

2.       Herschthal J, McLeod MP, Zaiac M (2012) Management of ungual warts. Dermatol Ther 25: 545-550.

3.       Kwok CS, Gibbs S, Bennett C, Holland R, Abbott R (2012) Topical treatments for cutaneous warts. Cochrane Database Syst Rev CD001781.