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Yin Y. Vun, MBBS(Aust); Mohsin M. Malik, MRCP(UK); Susanne Strauss, BSc; Conleth A. Egan, MD, FRCPI
Our Lady of Lourdes Hospital, Drogheda, Ireland (Drs Vun, Malik, and Egan), and Health Protection Agency, London, England (Ms Strauss)

Arch Dermatol. 2005;141:515-520.

	Since this article does not have an abstract, we have provided the first 135 words of the full text and any section headings.

REPORT OF A CASE

A 33-year-old white man presented with a 15-year history of persistent asymptomatic verrucous lesions on the dorsum of his hands and on the extensor aspect of his forearms. There was no involvement of his nails or palms. He reported that one of his siblings had milder involvement on the dorsum of the hands. Before presentation, he had tried topical salicylic acid and 16.7% lactic acid paint, and subsequently 5% imiquimod, with no improvement. His general health was otherwise good.

Physical examination revealed multiple flat-topped, papular lesions with grayish discoloration, resembling flat warts (Figure 1). A biopsy specimen from a representative lesion was stained with hematoxylin-eosin (Figure 2).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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