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Kenneth B. Cutler, MD; Mehran Alagheband, MD
Our Lady of Mercy Medical Center, Bronx, NY

Arch Dermatol. 2002;138:689-694.

	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 49-year-old African American man presented with a 3-month history of 2 slowly enlarging asymptomatic lesions on his scrotum (Figure 1 and Figure 2). Physical examination revealed 2 reddish-yellow, exophytic, pedunculated, verrucous papules, each measuring 7 mm in diameter, on the left and right sides of the scrotum. No other genital lesions were present, and there was no inguinal adenopathy. Serologic tests for syphilis were nonreactive. Biopsy specimens were obtained from shave excisions of both lesions (Figure 3 and Figure 4).

Figure 1.

Figure 2.

Figure 3.

Figure 4.

What is your diagnosis?

Diagnosis: Verruciform xanthoma (VX).

Histopathological examination revealed acanthosis with hyperkeratosis. No koilocytes, epithelial atypia, or plasma cells were noted. Numerous foamy histiocytes were observed in the papillary dermis, confirming the diagnosis of verruciform xanthoma. No recurrence of either lesion has been noted.

Verruciform xanthoma is a benign entity that was . . . [Full Text of this Article]

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