PMC3168040_01
Swelling over scrotum and penis. Warty crusted lesions over lower abdomen, groin and thighs
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PMC3168040_01_IJSTD-30-43-g001.jpg
F1
The patient had grotesque swelling over scrotum and penis [Figure 1a]. There were multiple, well defined large plaques with warty surface over lower abdomen, encircling the upper medial and posterior thighs, superimposed with crusting and discharge [Figure 1a]. The patient was then put on oral fluconazole 200mg twice a day and cycles of injection amikacin 750mg/day with three weeks on and two weeks off dosing pattern for three months along with cryotherapy, to which he responded well and the lesions healed with mild scarring over a period of one month [Figures 1b, 2b].
Protean lesions over forehead and neck. Discharging sinus over right axilla
IJSTD-30-43-g002.jpg
PMC3168040_01_IJSTD-30-43-g002.jpg
F3
Similar warty papules were seen over forehead and neck with satellite lesions peripherally and a discharging sinus over left axillary region [Figure 2a]. The patient was then put on oral fluconazole 200mg twice a day and cycles of injection amikacin 750mg/day with three weeks on and two weeks off dosing pattern for three months along with cryotherapy, to which he responded well and the lesions healed with mild scarring over a period of one month [Figures 1b, 2b].