PMC5153582_01
Figure 1 Clinical appearance of lips.
ijos20141f1.jpg
PMC5153582_01_ijos20141f1.jpg
fig1
The epichil was easy to bleed with a scab formation (Figure 1).
Figure 2 Hyperkeratotic and hyperpigmented skin in the axilla area.
ijos20141f2.jpg
PMC5153582_01_ijos20141f2.jpg
fig2
Hyperkeratotic and hyperpigmented skin on the face, elbows, pudendum, groins, especially in the axilla area with some warty thickening of nipples, was followed by the appearance of velvety patchy lesions in these areas (Figure 2).
Figure 3 Histological slide of lips showing hyperkeratosis, acanthosis, increased dermal pigmentation and papillomatous hyperplasia of the epidermis. Hematoxylin and eosin stainning, magnification x200.
ijos20141f3.jpg
PMC5153582_01_ijos20141f3.jpg
fig3
Biopsy of lips and axilla tissue showed hyperkeratosis, acanthosis, increased dermal pigmentation and papillomatous hyperplasia of the epidermis (Figure 3).