Letters to the Editor

Treating Periungual Warts with Adhesive Tape



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Am Fam Physician. 1998 Jan 15;57(2):226.

to the editor: I enjoyed the article on nail disorders.1 The authors state that periungual warts are difficult to treat due to their proximity to the nail bed growth plate. The use of harsh chemicals, electrosurgery or cryosurgery may disrupt nail growth permanently.

For the past decade or so I have been using a technique about which I read many years ago in Cutis.2 The author suggested treating these warts by occlusion using ordinary white adhesive tape (the old-fashioned type, now used mostly for ankle taping). A large part of therapy is the psychologic component. The author used an ordinary roll of tape, but labeled it “WART TAPE.” This was wrapped around the finger with much ceremony. The tape is to be left on for six days, removed on a set day of the week (I usually choose Sunday), then replaced the next morning. After four weeks I've seen about an 80 percent cure rate.

You can have the patient return to the office for each re-taping or simply have the patient or parent do it at home. The cost is minimal, other than the office visit, and the therapy is essentially risk-free; there is no real damage to the nail bed matrix.

REFERENCES

1. Noronha PA, Zubkov B. Nails and nail disorders in children and adults. Am Fam Physician. 1997;55:2129–40.

2. Litt JZ. Don't excise—exorcise: treatment for subungual and periungual warts. Cutis. 1978;22:673–6.

Send letters to Kenneth W. Lin, MD, MPH, Associate Deputy Editor for AFP Online, e-mail: afplet@aafp.org, or 11400 Tomahawk Creek Pkwy., Leawood, KS 66211-2680.

Please include your complete address, e-mail address, and telephone number. Letters should be fewer than 400 words and limited to six references, one table or figure, and three authors.

Letters submitted for publication in AFP must not be submitted to any other publication. Possible conflicts of interest must be disclosed at time of submission. Submission of a letter will be construed as granting the American Academy of Family Physicians permission to publish the letter in any of its publications in any form. The editors may edit letters to meet style and space requirements.


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