Interphalangeal wartlike lesions that express clear fluid

A 54-year-old white man had two “warts” on the second distal interphalangeal joint of his right hand. The lesion near his nail bed was associated with a longitudinal defect in the nail. He had tried several OTC products, including Compound W Freeze Off solution and Dr. Scholl's Freeze Away, to no avail. In the process of trying to pare down the warts with a pumice stone and scissors, he had caused a clear viscous material to be expressed from one lesion, and he became concerned that it might be cancer.

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