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Shanna B. Meads, MD; Frances I. Ramos-Ceballos, BS, BA; Francisco A. Ramos-Caro, MD
University of Florida College of Medicine (Drs Meads and Ramos-Caro) and Malcom Randall Veterans Affairs Medical Center (Dr Ramos-Caro), Gainesville, Fla, and Emory School of Medicine, Atlanta, Ga (Ms Ramos-Ceballos)

Arch Dermatol. 2005;141:1457-1462.

	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 77-year-old white man presented with a 5-year history of a nonhealing, verrucous plaque on the distal aspect of his right forearm. He also had a history of coronary artery disease, congestive heart failure, and type 2 diabetes mellitus. Neither the patient nor his son could recall any trauma to the affected area. The plaque was asymptomatic except for occasional pruritus. Although the patient was relatively sedentary because of other health problems, he reported that he enjoyed gardening as a hobby.

Physical examination revealed a 4x6-cm, verrucous, hyperkeratotic, irregularly bordered, pigmented plaque on the distal aspect of the dorsal surface of the right forearm (Figure 1). Some areas of scarring and regression were present within the center of the plaque. A punch biopsy specimen was bisected for histopathologic examination (Figure 2) . . . [Full Text of this Article]

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Nonhealing Verrucous Plaque on the Forearm—Diagnosis
Arch Dermatol. 2005;141(11):1457-1462.
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