Case Report: Can Periungual Verrucae be Totally Recovered with Single Long Pulse 1064 nm Nd: YAG Laser Shot?

摘要

Human papilloma viral infection, also known as Verrucas Vulgaris, is a very common skin disease that can cause warty lesions over different parts of the body. The hand Verruca particularly the periungual region is usually poorly responsive to the commonly applied cryotherapy. Though Nd: YAG laser’s work mechanism is yet to be properly understood, it is found in the studies to be safe and effective for warts removal from hands and legs. We report a case of a 15-year-old girl presented to our dermatology clinic with periungual warty lesions of two months duration, who was treated with cryotherapy for four sessions with mild improvement. Therefore, we treated the largest lesion with single shot 1064 nm Nd:YAG laser. We limited the treatment to the largest lesion on her right middle finger as she complained of pain even after having local anesthesia. A few hours after the conclusion of the initial laser session, the lesion on the right middle finger started to disappear. Subsequently, all of the remaining lesions disappeared within two days. No remnant lesions, blisters, or scars are apparent. The treatment options for periungual warts should not be limited to cryotherapy, and the application of Nd-YAG laser is highly recommended especially for refractory cases.