Document Type
Article
Publication Date
9-1-2024
Abstract
A right-hand-dominant female presented 5 weeks following a right middle finger intralesional cantharidin injection for a common wart by a dermatologist. The patient experienced progressive stiffness, blistering, swelling, pain, and ultimately, full-thickness skin necrosis surrounding the injection site. Careful debridement followed by a full-thickness skin graft was performed with no evidence of involvement of the germinal matrix or terminal extensor tendon. At the 7-month postoperative mark, the patient’s graft exhibited favorable healing and improved functionality that did not require further follow-up. Intralesional injection of cantharidin solutions for digital warts leads to progressive skin necrosis. Our case required prompt debridement and defect coverage. Involvement of the underlying anatomical structures was also a concern. Dermatologists and hand surgeons should be familiar with this complication as intralesional cantharidin injections are contraindicated.
Recommended Citation
Arango, Sebastian; Weir, Tristan; Miller, Andrew; and Osterman, Meredith, "Skin Necrosis Following Digital Wart Intralesional Injection of Cantharidin" (2024). Department of Orthopaedic Surgery Faculty Papers. Paper 228.
https://jdc.jefferson.edu/orthofp/228
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Language
English
Included in
Orthopedics Commons, Pathological Conditions, Signs and Symptoms Commons, Skin and Connective Tissue Diseases Commons, Surgery Commons
Comments
This article is the author's final published version in Dermatology Online Journal, Volume 30, Issue 5, September 2024, Article number 13.
The published version is available at https://doi.org/10.5070/D330564434.
Copyright © 2024 by the author(s)