General Health

Periungual Warts: How Do They Look Like and How Are They Treated?

If you have growths in the vicinity of toe- and fingernails, you probably have periungual warts. In most cases they disappear without treatment and care required. Yet it doesn’t always mean that if you leave the warts, they will vanish on their own. Treatment may be necessary and there are several ways to help you.

How Do Periungual Warts Look Like?


There’s a clear reason why so many people don’t notice any warts when they appear. At first they are just small spots that you don’t pay much attention to. In time they will transform into warts and within a very short timeframe they’ll get really big. Fingernails and toenails are the areas that they appear around, so they are always visible.

Sometimes they turn really big and lead to the deformation of nails. So, whenever the small bumps are noticed, it’s essential to have a professional check-up to prevent their growth and further complications.

Symptoms & Signs of Periungual Warts

Professionals agree that tumors, bumps as well as flushes around one’s nails must be viewed as the very first symptoms and signs of periungual warts. These signs can also be very itching. When they become such, much attention must be paid.

  • Under fingernails

They firstly start developing around as well as under fingernails. The condition is quite common in patients, who keep biting their nails: when there are breaks in the skin, the infection or virus enters it and triggers the development of a growth.

After the virus penetrates into the break, the top layer of the skin grows rapidly and starts forming rough bumps, which resemble a cauliflower.  Periungual warts that occur under fingernails cause a slight discomfort at first and later they become really troublesome.

If a man doesn’t wash hands, touches other parts of the body with infected nails and has cuts and bruises around the infected area, he’s at risk of having the so-called subungual warts beneath and under the fingernails.

  • Under toenails

Such warts are frequently found under toenails, too. The condition often develops among those people, whole like walking bare feet while in public swimming pools and/or showers. Various viruses that cover the moist and warm surfaces in such areas cause the warts.

When left neglected, the warts cause nail deformation. In the most severe cases the virus gets to the nail plate and triggers fungal infection.

Causes and Triggers of Periungual Warts


There are four main causes of the condition. Knowing them allows avoiding complications:

  • Specialists agree that human papilloma virus must be viewed as the main trigger of periungual warts. The matter is that this virus type enters one’s body from various abrasions or cuts. Warts start developing from skin to skin contacts with a man, who’s already infected;
  • Another possible reason is having identical warts on various body parts: sufferers usually touch these growths. So no wonder that when the around-the-nail area is either cut or bruised, any infection can start developing inside;
  • The condition may be found in males and females, who have a habit of biting their nails. When after the bite the skin is broken, any kind of virus penetrates into it easier and faster;
  • And finally walking bare foot in the swimming pool areas as well as in public showers. Such places are full of bacteria that lead to various abnormal skin growths.

As you see, reasons aren’t multiple, so it’s easy to remember them and protect your feet and hands. Yet still, in some cases it’s hard to escape a problem, no matter how hard you try. This is why we suggest learning more about diverse treatment options and variants for periungual warts.

Periungual Warts Treatment

Let’s start with the fact that these warts are quite easily treated by three various options (like most warts). These options are plain home remedies, serious and sometimes expensive medical treatment as well as surgery, of course. Patients usually don’t choose the option they ’like’, it’s a healthcare professional, who should decide, which of them is the most appropriate for each case.

  • Home remedies

They’re easy, fast and affordable. Treatments for many wart types look pretty much the same. Why? Most home remedies are able to cope with any kinds of growths. In fact, this option is now preferred by most sufferers, because it is not only cheap, yet also very safe and all natural. Here are several most effective methods that have already gained popularity among patients from around the globe.

APC or apple cider vinegar is the first variant. Recently there have appeared many recipes of homemade solutions with apple cider vinegar. This ingredient is very potent and safe. Besides, it can be found in every house. When contacting with the skin, it has the acidity that is needed for the treatment. ACV never makes any significant damage, but it may hurt a bit. If it hurts A LOT, please try another method.

So, how should it be used? There are two ways:

  • The first one is to take a soft and clean piece of cotton, soak it in apple cider vinegar and place on warts. To allow the remedy work you should make sure that your affected feet or hands are clean. Cover them with a soft bandage and let them remain covered for the whole night. Clean the affected area thoroughly after you get up in the morning;
  • The second one is popular as well. You can mix warm water and regular apple cider vinegar in equal proportions. It should better be done in a bowl because you’ll need to soak your affected hands or feet in it. Steep warts into the solution and wait for quarter of an hour. Some patients report that their warts start burning. If it’s the case with you too, take them out. The procedure must be reported daily before first improvements get obvious.

Garlic. If you are looking for a popular and effective way to treat warts, choose garlic. You should firstly peel it and rub it to the affected area softly. Don’t wash the area after rubbing. Just cover it with a soft bandage for a night. Take the bandage off in the morning. You will see blisters. It’s a normal reaction that will disappear within days, so don’t get worry about it.

  • Medical treatment

Some patients refuse from homemade solutions and choose a medical treatment. It may be not as cheap as garlic or apple cider vinegar, but it is more effective and ensures quite fasts results. What do you know about pharmacy products for periungual warts? There are really a lot of them, but you should better have them prescribed instead of choosing on your own.

Special attention must be paid to creams. There are helpful ones, yet they are a secondary option, because they never cope in curing the condition themselves. These are special oils that deal not only with warts as the results of infections, yet with infections as the roots of the problem. Ask your doctor for advice and get special oils and creams that can be helpful.

  • Surgery

Depending on the severity of the condition, a doctor will offer one of the ways of periungual warts removal:

  1. Removing via laser;
  2. Freezing for removing with liquid Nitrogen;
  3. Immune system strengthening drugs;
  4. Removing via Cantharidin;
  5. Surgical removal.

When the warts get really large and neither of offered treatment options is helpful, a healthcare provider offers the surgery as the only possible treatment. The only thing that patients don’t like about this way is that it leaves the scar and causes possible complications.

Even when the warts don’t bother a patient, removing them is a must because of one clear reason: they can spread HPV to other people or to different body parts of the same person. Keeping warts clean, unbroken and then remove them is the only way to protect yourself and people, who surround you.

Most doctors suggest the laser surgery. The laser burns the wart until its tissue is completely destroyed. Depending on how dangerous the growths are, as well as on their size and number, a doctor may use anesthetics.  As the procedure is easy and fast, patients leave the clinics the same day the warts are removed.

Another popular option of removing is with liquid nitrogen. It leaves no scars and is always safe. If you want/need to achieve the best results, the procedure must be repeated several times. Then the warts will surely drop by themselves.

There are specialists, who believe that periungual warts shouldn’t be treated as they usually disappear on their own. Unfortunately, even specialists make mistakes. When the growths are small, it is hard to diagnose, whether they are safe or dangerous. Besides, some of them need years to vanish for good. Visit several healthcare professionals and listen to what they say and suggest. Then pick an appropriate treatment and never leave your growths neglected, otherwise they will affect your life one day.