None is required. Removal of lesion using punch or excisional biopsy is an effective therapy for these benign lesions. This benign process is unrelated to dietary influences. The only complications associated with WD are those associated with the minor surgical procedures required for the biopsy or removal of these benign lesions. Potential postsurgical complications including infection and bleeding, as is possible after any surgical procedure.
Recurrence is extremely uncommon.
This can occur because both lesions display an endophytic pattern and exhibit acantholysis. Thus, a confident and correct benign diagnosis is possible if careful attention is paid to the architectural and cytologic characteristics of the lesion. High power histopathologic appearance of warty dyskeratoma. Note grains, corps ronds, suprabasal lacunae, and overlying vertical parakeratosis. Focal subungual warty dyskeratoma.