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Fingertip soft tissue defect caused by periungual warts: A case report
Xiaoqin Wang1, Jinhui Xu1, Yourang Jiang1
1Department of Dermatology Chongqing Traditional Chinese Medicine Hospital ChongQing China.
Clinical Case Reports
|October 3, 2023
Summary
This case study details a rare instance of periungual warts causing a fingertip soft tissue defect. A combination of superficial x-ray therapy and tretinoin successfully cleared the warts and healed the defect.
Area of Science:
- Dermatology
- Oncology
- Radiology
Background:
- Periungual warts are common dermatological conditions.
- Wart extension to finger stumps causing soft tissue defects is rare.
- This case highlights an unusual presentation of periungual warts.
Observation:
- A 69-year-old patient presented with hand warts.
- Wart growth extended to the right thumb's finger stump, causing a soft tissue defect.
- The defect involved the fingertip of the right thumb.
Findings:
- A treatment regimen combining superficial x-ray therapy and tretinoin was administered.
- The warts completely resolved after 26 days of treatment.
- This represents the first documented case of periungual warts causing a fingertip soft tissue defect successfully managed with this approach.
Implications:
- Superficial x-ray therapy and tretinoin offer a viable treatment for rare periungual wart complications.
- This case expands understanding of wart-related soft tissue defects and their management.
- Further research may explore this combined therapy for similar complex wart cases.

