Combining 90% trichloroacetate acid with electrosurgery to treat recurrent verruca vulgaris: A case report

Verruca vulgaris is a benign skin tumor that caused by Human papillomavirus (HPV) which a DNA virus that has more than 100 genotypes that being known. Verruca vulgaris commonly affects the hands, arms, legs, and feet, particularly in areas where there has been minor trauma, like the knuckles or the area around the nails. A 38-year-old man came in with chief complaints of lumps on his left thumb and right index finger since 1 month ago. Any histories of being trauma or scratched was denied. The patient had the same chief complaint approximately 2 months ago. The patient was undergoing physical and supportive examination using dermoscopy and he was diagnosed with recurrent verruca vulgaris. The patient was given the combination therapy using electrosurgery and 90% trichloroacetate (TCA) and five months later he went back for the follow up and there was no new lesion was found.