(Disclaimer: This article is for general use only, and the information in the following content has been processed to protect patient privacy)
Abstract: Patient Gu, 22 years old, presented to our hospital with clear keratosis-like changes on the growth border of his right middle finger, accompanied by significant roughness, and continued to increase in size severely, affecting his quality of life. Based on the patient’s symptoms, the patient was considered to have perineural warts among viral warts, and a complete set of human papillomavirus typing tests was performed to clarify the diagnosis. The patient chose to use several times of liquid nitrogen freezing for treatment, after which the warts on the patient’s hands subsided, the skin recovered, and the perineal warts were cured.
Basic information】Male, 22 years old
The type of disease】Periodic nail warts
The time of consultation】April 2022
The actual fact is that you can’t be a lot of people, but you can’t be a lot of people.
Treatment period】5 times of liquid nitrogen freezing treatment, each time 20 days apart
The effect of the treatment is that the keratinized granular warts on the hands have disappeared, the skin has returned to a healthy state, and the perineural warts have been cured.
I. Initial consultation
The first time I saw you, I was a little bit of a nag, and I was a little bit of a nag. The patient was asked to extend his right hand for examination, and a keratotic papule of 2cmx1cm in diameter size with clear margins and irregular morphology was found on the lateral side of the nail of the patient’s right middle finger, and changes of a distinctly cracked nature could be seen on the surface. The overall pattern was multiple ovoid papules that fused into a single patch, and some black dots could be seen on the surface. The nail of the middle finger of the right hand was affected by hyperplastic material, with a morphological appearance of a mid-section bulge and a tendency to transection.
After describing the prognosis of the disease development with the patient, the patient agreed to a pediatric papillomavirus genotyping test to clarify the diagnosis, which showed positive results for human papillomavirus types 1, 2, and 27. The results of the laboratory tests were consistent with the diagnosis of perineural warts.
Second, the treatment process
The patient’s perineal warts have been growing for 2 years and have affected the normal nail growth. The patient agreed to undergo liquid nitrogen freezing several times to make the warts on the hands gradually disappear. The surface tissue was first disinfected with iodophor and then a liquid nitrogen freezing gun containing 20 ml of liquid nitrogen was inserted into the wart and released inside the wart. The freezing was suspended after the tissue was gradually whitened and repeated 3 times, and then disinfected with iodophor disinfectant. The patient is instructed to go home, do not get wet within 1 week, every 20 days for 1 treatment, a total of 5 times.
III. Treatment effect
After 5 treatments, the keratotic papules on the patient’s hands have completely disappeared, the rough granularity has subsided, and the black necrotic dots on the surface have disappeared. At the same time, the nails affected by warts fell off from the fingertips and gradually grew new nails, but they were not affected by perineal warts again and were in a healthy state. The nails and skin are smooth and there are no nodular changes in the subcutaneous tissues, the periapical warts are cured and the patients are satisfied with the treatment.
Fourth, precautions
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. In addition, the probability of recurrence of periapical warts is relatively high, must ensure that the full course of treatment, before the doctor diagnosed completely cured, do not arbitrarily stop treatment.
The actual fact is that you can find a lot of people who are not able to get a good deal on this.
The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. After the diagnosis of perineal warts, liquid nitrogen freezing treatment is an option, and if the nail damage is too severe, it is necessary to supplement the treatment with nail extraction. In addition, if the patient’s condition is severe, after the skin surface has returned to its normal state, medication can be applied to the local skin surface, if necessary, as prescribed by the doctor, to help reduce the probability of recurrence of viral warts.