Warts of the nail unit: Surgical and nonsurgical approaches

Antonella Tosti, Bianca Maria Piraccini

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

BACKGROUND. Warts are the most common nail tumor and mostly affect children and young adults. Periungual warts are usually due to HPV-1, 2, and 4. Development of periungual warts is favored by maceration and trauma, especially nail biting. OBJECTIVE. To discuss the biology, clinical features, and medical and surgical treatment of periungual warts. METHODS. Review of the literature and personal experience. RESULTS. The natural course of warts makes aggressive approaches restricted to selected cases. Medical treatments, usually topical, include keratolytic agents, virucidal agents, and immunomodulators. All choices have been utilized successfully, but keratolytic agents are the best first-line approach. Surgical treatments include cryotherapy, surgical excision, electrosurgery, infrared coagulation, localized heating with a radio-frequency heat generator and laser therapy, especially the Er:YAG laser, which has an excellent safety profile. CONCLUSIONS. Definitive cure is not guaranteed by any therapy and periungual warts can recur and become larger after correct treatment.

Original languageEnglish
Pages (from-to)235-239
Number of pages5
JournalDermatologic Surgery
Volume27
Issue number3
DOIs
StatePublished - Apr 10 2001
Externally publishedYes

Fingerprint

Warts
Nails
Keratolytic Agents
Nail Biting
Electrosurgery
Therapeutics
Cryotherapy
Solid-State Lasers
Immunologic Factors
Laser Therapy
Radio
Heating
Young Adult
Hot Temperature
Safety
Wounds and Injuries
Neoplasms

ASJC Scopus subject areas

  • Dermatology
  • Surgery

Cite this

Warts of the nail unit : Surgical and nonsurgical approaches. / Tosti, Antonella; Piraccini, Bianca Maria.

In: Dermatologic Surgery, Vol. 27, No. 3, 10.04.2001, p. 235-239.

Research output: Contribution to journalArticle

Tosti, Antonella ; Piraccini, Bianca Maria. / Warts of the nail unit : Surgical and nonsurgical approaches. In: Dermatologic Surgery. 2001 ; Vol. 27, No. 3. pp. 235-239.
@article{2a3230cc1c1e4ea5a6d20290db452edc,
title = "Warts of the nail unit: Surgical and nonsurgical approaches",
abstract = "BACKGROUND. Warts are the most common nail tumor and mostly affect children and young adults. Periungual warts are usually due to HPV-1, 2, and 4. Development of periungual warts is favored by maceration and trauma, especially nail biting. OBJECTIVE. To discuss the biology, clinical features, and medical and surgical treatment of periungual warts. METHODS. Review of the literature and personal experience. RESULTS. The natural course of warts makes aggressive approaches restricted to selected cases. Medical treatments, usually topical, include keratolytic agents, virucidal agents, and immunomodulators. All choices have been utilized successfully, but keratolytic agents are the best first-line approach. Surgical treatments include cryotherapy, surgical excision, electrosurgery, infrared coagulation, localized heating with a radio-frequency heat generator and laser therapy, especially the Er:YAG laser, which has an excellent safety profile. CONCLUSIONS. Definitive cure is not guaranteed by any therapy and periungual warts can recur and become larger after correct treatment.",
author = "Antonella Tosti and Piraccini, {Bianca Maria}",
year = "2001",
month = "4",
day = "10",
doi = "10.1046/j.1524-4725.2001.01903.x",
language = "English",
volume = "27",
pages = "235--239",
journal = "Dermatologic Surgery",
issn = "1076-0512",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Warts of the nail unit

T2 - Surgical and nonsurgical approaches

AU - Tosti, Antonella

AU - Piraccini, Bianca Maria

PY - 2001/4/10

Y1 - 2001/4/10

N2 - BACKGROUND. Warts are the most common nail tumor and mostly affect children and young adults. Periungual warts are usually due to HPV-1, 2, and 4. Development of periungual warts is favored by maceration and trauma, especially nail biting. OBJECTIVE. To discuss the biology, clinical features, and medical and surgical treatment of periungual warts. METHODS. Review of the literature and personal experience. RESULTS. The natural course of warts makes aggressive approaches restricted to selected cases. Medical treatments, usually topical, include keratolytic agents, virucidal agents, and immunomodulators. All choices have been utilized successfully, but keratolytic agents are the best first-line approach. Surgical treatments include cryotherapy, surgical excision, electrosurgery, infrared coagulation, localized heating with a radio-frequency heat generator and laser therapy, especially the Er:YAG laser, which has an excellent safety profile. CONCLUSIONS. Definitive cure is not guaranteed by any therapy and periungual warts can recur and become larger after correct treatment.

AB - BACKGROUND. Warts are the most common nail tumor and mostly affect children and young adults. Periungual warts are usually due to HPV-1, 2, and 4. Development of periungual warts is favored by maceration and trauma, especially nail biting. OBJECTIVE. To discuss the biology, clinical features, and medical and surgical treatment of periungual warts. METHODS. Review of the literature and personal experience. RESULTS. The natural course of warts makes aggressive approaches restricted to selected cases. Medical treatments, usually topical, include keratolytic agents, virucidal agents, and immunomodulators. All choices have been utilized successfully, but keratolytic agents are the best first-line approach. Surgical treatments include cryotherapy, surgical excision, electrosurgery, infrared coagulation, localized heating with a radio-frequency heat generator and laser therapy, especially the Er:YAG laser, which has an excellent safety profile. CONCLUSIONS. Definitive cure is not guaranteed by any therapy and periungual warts can recur and become larger after correct treatment.

UR - http://www.scopus.com/inward/record.url?scp=0035078730&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035078730&partnerID=8YFLogxK

U2 - 10.1046/j.1524-4725.2001.01903.x

DO - 10.1046/j.1524-4725.2001.01903.x

M3 - Article

C2 - 11277888

AN - SCOPUS:0035078730

VL - 27

SP - 235

EP - 239

JO - Dermatologic Surgery

JF - Dermatologic Surgery

SN - 1076-0512

IS - 3

ER -