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Verrucous lesion on dorsum of the foot
Correspondence Address:
Shyam B Verma
Nirvana Skin Clinic, Makarpura Main Road, Baroda - 390 002
India
How to cite this article: Verma SB. Verrucous lesion on dorsum of the foot. Indian J Dermatol Venereol Leprol 2007;73:281 |
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Figure 2: Skin biopsy (H and E, x200) |
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Figure 2: Skin biopsy (H and E, x200) |
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Figure 1: Verrucous nodule over ankle joint |
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Figure 1: Verrucous nodule over ankle joint |
A 55 year-old man presented in our clinic with a warty mass on the dorsum of his foot, which had been growing for the past 5-6 years. It was treated as a wart with many household remedies without any success. The patient had a discolored spot in that area since childhood and the present lesion started there until it grew to the present size. He complained of bleeding from the lesion off and on.
On examination there was a 3 x 2 cm dark verrucous lesion on the dorsum of the left foot [Figure - 1]. Upon palpation, the lesion was hard to feel, but was freely movable in all directions. There was a slight swelling in the perilesional area, which was soft to palpation.
The patient had no history of trauma, fever or weight loss. He had no systemic signs or symptoms. There were no palpable lymph nodes in the affected area or in the inguinal region. His hemogram, liver and kidney functions, blood sugar, chest X-ray and ultrasonography of the abdomen were normal. An excisional biopsy was done with a 4 mm free margin. The findings are shown in [Figure - 2].
What is the Diagnosis?
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