PMC3730475_01
Multiple 3-12 mm, flat-topped moist papules, few verrucous nodules, some of these lesions coalesced to form plaques at the labia majora, soiling with fecal matter to be noted
IJSTD-34-44-g001.jpg
PMC3730475_01_IJSTD-34-44-g001.jpg
F1
Cutaneous examination revealed multiple, flat-topped moist papules, 3-12 mm in size, few verrucous nodules; some of these lesions coalescing to form plaques at the perianal area, extending up to the labia majora [Figures 1 and 2].
Multiple 3-12 mm, flat-topped moist papules, few verrucous nodules, some of these lesions coalesced to form plaques at the perianal area
IJSTD-34-44-g002.jpg
PMC3730475_01_IJSTD-34-44-g002.jpg
F2
Cutaneous examination revealed multiple, flat-topped moist papules, 3-12 mm in size, few verrucous nodules; some of these lesions coalescing to form plaques at the perianal area, extending up to the labia majora [Figures 1 and 2].
H and E staining of skin biopsy shows irregular epidermal hyperplasia and marked acanthosis with pale keratinocytes in the upper epidermis. A mild lymphocytic infiltrate can be seen in upper dermis (x10)
IJSTD-34-44-g003.jpg
PMC3730475_01_IJSTD-34-44-g003.jpg
F3
A mild lymphocytic infiltrate can be seen in upper dermis [Figure 3].