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Verrucous psoriasis is a rare form of Psoriasis which has a clinical characteristic and histological appearance. Only few cases have been reported in the literature. We report a rare case of verrucous psoriasis associated with verrucous lichen appeared in a patient with an autoimmune hepatitis.
Context in source publication
Context 1
... Skin biopsy of the erythematous scaly lesion showed psoriasis as an epidermal hyperplasia with parakeratosis. In addition, the biopsies of the verrucous lesions made on the thigh, hand and perianal area pointed out a verrucous psoriasis with an epidermal hyperplasia with parakeratosis and prominent papillomatosis Figure 3, while the biopsy of the warty lesion of the leg revealed verrucous lichen as an orthokeratosic hyperkeratosis, papillomatosis with a lymphocytic infiltrate band Figure 4. ...
Citations
... Verrucous psoriasis is a rare variant of the disease with less than thirty cases reported in the literature [3]. It is mostly occurring on men with a sex ratio of 1.6 and a mean age of 53 year old [1,4]. ...
Psoriasis verrucosa is a rare clinical variant of psoriasis with peculiar histologic features. Only few cases have been reported in the literature. We herein report a rare case of psoriasis with verrucous appearance occurring in a 63 year-old woman who presented with verrucous and scaly erythematous plaque of the legs which was developed thirty years ago. The biopsy specimen showed regular psoriasiform epidermal hyperplasia with acanthosis, hyperkeratosis, and focal spongiosis with a superficial perivascular infiltrate. The patient was diagnosed with verrucous psoriasis. Recognition of this entity should preempt confusion with verruca vulgaris or other entities capable of producing wart-like epidermal changes.
Familial dyskeratotic comedones is an inherited disorder with characteristic clinical features characterized by disseminated, hyperkeratotic papules and comedones with evidence of dyskeratosis on histopathology. In the light of unrewarding treatment and rarity of this entity, herein we report this rare disorder in a female patient having positive family history.
