Periungual Warts

 There are over 100 different strains of HPV identified. The specific strain of HPV that is present will determine what kind of warts will appear. Periungual warts are just one type of the wart family.

1. What are periungual warts?
2. Where do periungual warts appear?
3. How do you catch periungual warts
4. Periungual wart prevention
5. Periungual Treatment

What are Periungual Warts?

The hands are a frequent target for warts. Occasionally, warts will appear around the fingernails or the toenails. These types of warts are known as periungual warts. Mosby’s Medical Dictionary defines the word periungual as pertaining to the area around the fingernails or toenails. Periungual warts look like common warts. They will be flesh -colored or brownish, and the surface will have a cauliflower-like appearance.

Where do Periungual Warts Appear?

Periungual warts can appear around the nails or even under the nails. These warts can produce considerable pain as they enlarge. If periungual warts are not treated they can cause the fingernails or toenails to detach from the nail beds. The loss of a nail can expose the nail bed to injury and possibly infection.

How do You Catch Periungual Warts?

The virus that causes warts is easily spread through direct contact. Individuals put themselves at risk for periungual warts because they touch infected objects, or they walk barefoot in public places. Individuals who bite their nails or pick at their cuticles will be at high risk for periungual warts because these actions cause trauma to the skin around the nails.

One often overlooked source of the HPV virus is a nail salon. Those who get frequent manicures or pedicures could be putting themselves at risk for periungual warts. It is important to ask the nail salon about their sanitation guidelines. All technicians should wash their hands between customers. Many individuals reduce their risk of being exposed to HPV or fungus by bringing their own grooming tools to the salon.

Periungual Wart prevention.

The American Academy of Dermatology1 provides a few tips on how to care for nails to prevent infection. Nails should always be clean and dry. Toenails and fingernails should be cut straight across and slightly rounded in the center to prevent ingrown nails. Shoes should fit well, and cotton socks should be worn to allow moisture to evaporate.

Periungual Wart Treatment.

Periungual warts can be treated safely at home with over the counter wart medications. These wart removal products use natural ingredients which are not harsh on your skin and claim to quickly remove warts without pain or leaving blemishes – Amoils Heal Warts is one such solution (Click here to visit Amoils Heal Warts) .  Other over the counter treatments use salicylic acid to gradually dissolve the wart. It is important to monitor the fingers for any sign of allergic reaction such as redness, itching or burning with this type of treatment.

Putting duct tape on the warts and leaving it in place for several days can help eliminate periungual warts. This method is safe and effective, but it may not be practical for periungual warts on the fingers and can take quite some time to work.

Sometimes, these types of warts will be resistant to over-the-counter or home treatments. If warts are recurring or causing a lot of pain, they will need to be treated by a doctor. He may choose to use cantharidin on the warts. Cantharidin is a chemical that comes from the green blister beetle. The doctor will paint this solution on a wart and then cover it with a bandage. The chemical will cause the skin under the wart to blister, which lifts the wart away from the skin. After the blister dries up, the wart will come off with the dead skin.

Bleomycin is an anticancer medication that is used to treat warts. Its primary method of action is to produce breaks in DNA. A doctor will inject Bleomycin directly into a wart. This method has been used primarily for plantar warts, but a recent study proved that small diluted doses of the drug is very effective at removing periungual warts with minimal side effects.

Adults that are suddenly plagued with warts should see their doctor for a check-up. Adults do not usually have new onset wart outbreaks. There may be an underlying disease that is weakening the immune system. A complete check up with blood tests should be able to detect any health problems that are contributing to the development of warts.


American Academy of Dermatology