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Chad Hivnor, MD; James W. Shepard, MD; Michael S. Shapiro, MD; Carmela C. Vittorio, MD
From the University of Pennsylvania, Philadelphia.

Arch Dermatol. 2004;140:13-14.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 34-year-old human immunodeficiency virus (HIV)–seropositive man with a history of Kaposi sarcoma and ocular cytomegalovirus presented with an 8- to 10-month history of multiple, progressively enlarging verrucous papules on the proximal nail fold and the distal interphalangeal joint of the right third finger (Figure 1). His CD4 cell count was 21/µL during retroviral therapy. A clinical diagnosis of verruca vulgaris was made, and the patient was treated unsuccessfully with a variety of therapeutic modalities, including liquid nitrogen cryosurgery and hyperthermia, as well as topical imiquimod, tretinoin solution, 0.1% tazarotene gel, and 25%, 50%, and 75% podophyllin, singly and in combination. Subsequently, the patient developed molluscum contagiosum, condylomata accuminata, and periungual warts on 6 other fingers. These conditions were also treated with multiple destructive and topical modalities, without improvement.

Figure appears in full text version. Figure 1. Close-up view . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT

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