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Verrucous plaque on face: What is your diagnosis?

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Verrucous plaque on the face: What is your diagnosis?
Abhishek De MD, Ramesh C Gharami MD, Pijush K Datta MD
Dermatology Online Journal 16 (1): 6

Department of Skin and STD, Medical College, Calcutta, West Bengal, India.

Case synopsis

Figure 1

A 46-year-old male patient presented with hyperpigmented verrucous plaques and papules mainly on the left cheek and malar region for the last seven months (Figure 1). There was no history of injury prior to the onset of the lesion. Initially an asymptomatic erythematous papule appeared that slowly increased in size and became verrucous. Later, a few more papules appeared around the larger plaque. The lesions had an eythematous border that gradually merged with the surrounding normal skin. There was no history of ulceration or discharge. Lymph nodes were not palpable. The patient had been previously treated with systemic antibiotics and topical steroids without much improvement. He did not have any systemic complaints. A routine blood count and chemistry panel were within normal limits. An incisional biopsy was done and the histopathological findings are shown in Figures 2 and 3.

Figure 2 Figure 3

What is your diagnosis?


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