Verrucous carcinoma (VC) of the nail bed is a rare variant of squamous cell carcinoma that is often misdiagnosed as a benign condition. The clinical presentation of this tumor is very similar to that of warts or onychomycosis hence the delayed appropriate treatment. Its association with human papillomavirus (HPV) infection has rarely been reported. The treatment of VC of the nail unit depends on the extent of the lesion and the presence or the absence of bone. We here report an unusual case of VC of the nail bed of the left big toe in a man associated with HPV53 infection that had been mistaken for a wart for 1 year. The condition was treated by ray amputation.

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risk of graft necrosis from the limited vascular support and the inability to fill deeper defects, as subcutaneous fat is usually trimmed from the graft to enhance survival. 2,3 Additional possible complications include pin-cushioning, persistent dyschromia, and graft failure secondary to skin-edge tension associated with primary closure of the adjacent donor site. 2,3 In patients who prefer to avoid more involved surgical approaches, a local Burow's graft provides a simple, singlestage, single-site reconstructive option to minimize surgical intervention, and maximize cosmetic and functional outcomes for small-(<1.5 cm) to moderately-sized (1.5-2 cm) helical rim defects.

Miliaria crystallina is frequently seen in intensive care patients. This skin condition should be known by both anesthesiologists and dermatologists to avoid unnecessary investigations.