PMC4999641_01
A 9-year-old boy presenting with papillary growths on the forehead, inner canthus of eye, left angle of mouth and on vermilion border of lip
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F1
A 9-year-old boy reported to the Department of Oral Medicine, Radiology and Diagnosis with multiple, small, whitish growth on his legs, hands, fingers and face (Fig. 1). On extraoral examination, numerous keratotic, well-defined whitish colored, papules varying in size from 2 to 4 mm were found on dorsum of hand, feet, face, chin and angle of mandible (Figs 1 to 2B).
Multiple grayish white lesions on the hands and legs
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F2
On extraoral examination, numerous keratotic, well-defined whitish colored, papules varying in size from 2 to 4 mm were found on dorsum of hand, feet, face, chin and angle of mandible (Figs 1 to 2B).
Coalesced linear occurring lesions showing bleeding
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F3
Mild discharge of blood was noticed on scraping the lesion (Fig. 3).
Intraorally small flat lesion on right buccal mucosa
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F4
Examination of the oral cavity revealed whitish solitary lesion on right buccal mucosa with finger like projection and multiple small (4-5 in number) lesions were also appreciable on lower labial mucosa and on alveolar ridge in the region of lower left lateral incisor and canine (Fig. 4).
Histopathology showing the classical lesion of verucca vulgaris
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F5
Vertical tier of parakeratotic cells and foci of clumped keratohyalin granules were also seen (Figs 5A and B).