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February 1973

Bone Destruction of a Distal Phalanx Caused by Periungual Warts

Author Affiliations

USAF; USAF; Travis Air Force Base, Calif

From the Dermatology Service, Department of Medicine, David Grant USAF Medical Center, Travis Air Force Base, Calif. Dr. Gardner is now with the Department of Dermatology. University of Michigan Medical School, Ann Arbor.

Arch Dermatol. 1973;107(2):275-276. doi:10.1001/archderm.1973.01620170083023

A periungual wart caused pain and roentgenographic evidence of bone destruction in the right index finger of a 40-year-old man. When conventional therapy failed, 2,250 rads of x-ray therapy was given and the wart disappeared. Roentgenograms of the finger one month after clinical cure showed early bone remineralization. Subungual epidermoid carcinomas and keratoacanthomas may cause destruction of the underlying bone, but both of these diagnoses could be excluded in this patient. We believe that this is the first report in which a common wart is shown to cause underlying bone destruction.

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