PMC9273467_01
(a, b) Multiple flat-topped brownish verrucous plaques over the forehead, neck, and the periauricular area.
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fig1
On examination, there were firm, greyish, warty and greasy papules, and plaques scattered over the forehead, scalp, postauricular and preauricular regions, external ear, neck, nasolabial folds, anterior chest, and scapular area (Figures 1(a) and 1(b)).
Multiple keratotic papules over the dorsum of bilateral feet.
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fig2
Small-sized warty papules were also noted over the dorsum of the bilateral hands and feet (Figures 2 and 3).
Multiple keratotic papules over the dorsum of the hand.
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fig3
Small-sized warty papules were also noted over the dorsum of the bilateral hands and feet (Figures 2 and 3).
H&E stain with 20x: acantholysis and dyskeratosis represented by corps ronds and corps grains in DD.
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fig4
Histopathological examination of the lesion from the neck shows acantholysis and dyskeratosis represented by corps rods and corps grains (Figure 4).
H&E stain with 10x: focal areas of hyperkeratosis, papillomatosis, and acanthosis with church spire appearance in AKVH.
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fig5
Microscopic examination of the lesion from the dorsum of the left hand shows a focal area of hyperkeratosis, papillomatosis, and acanthosis with church spire appearance which was compatible with AKVH (Figure 5).