Nail disorders can arise at any age and are mostly infectious in origin. Other causes include inflammatory, metabolic, malignancies and pigment disturbances. Due to the similarities in presentation, uncertainty is unavoidable. Thus, more accurate diagnostics and targeted treatment plans are needed to ensure the best possible outcomes for patients and to avoid drug resistance. This case describes a a 69-year-old diabetic female who presented with a 10-year history of subungual, lateral and proximal nail fold hyperkeratosis, onycholysis, splinter hemorrhages and yellow-brown nail discoloration of the fingernails and toenails. Histopathologically, the nail matrix of the left middle finger revealed verruca vulgaris.