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Todd M. Colonna, MD; Kevaghn P. Fair, DO; James W. Patterson, MD
University of Virginia, Charlottesville

Arch Dermatol. 2000;136:665-670.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 21-year-old white male housepainter presented to the student health clinic with a 4-year history of a lesion on his lower lip. His primary care physician had treated the lesion with cryotherapy on 2 separate occasions, without resolution. There was no history of trauma; the patient had no other medical problems; and the lesion had been stable in size over the preceding months. The lesion was asymptomatic.

On examination, there was a 3x5-mm yellowish brown verrucous papule at the center of the lower lip. There was no surrounding erythema or crusting (Figure 1). The lesion was removed by means of a deep shave excision and was sent for pathologic evaluation (Figure 2 and Figure 3).

Figure 1.

Figure 2.

Figure 3.

What is your diagnosis?

Diagnosis: Verruciform xanthoma.

Examination of the lesion at scanning magnification . . . [Full Text of this Article]