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A 34-year-old woman underwent renal transplantation for chronic idiopathic glomerulonephritis, and 4 years later small verrucae developed on her distal fingertips. Over the course of 11 years after transplantation, during which time she was on a stable immunosuppressive regimen, the verrucae progressed to confluent and dense periungual filiform verrucae, with digital encirclement on the first four fingers of her right hand (Panel A) and involvement of the nails (Panel B); verrucae also developed, to a lesser extent, on her left hand (Panel C). Attempts to remove the verrucae were made but were unsuccessful because of trypanophobia (fear of needles). Ultimately, . . . [Full Text of this Article] |