IMAGES IN CLINICAL INFECTIOUS DISEASES
Verruca vulgaris
Graça Maria de Castro Viana; Jorim Ithamar; Antônio Rafael da Silva; Maria do Desterro S. Brandão do Nascimento; Conceição M.P.S. Azevedo
Hospital Presidente Vargas, Uniceuma and Federal University of Maranhão, Brazil. E-mail: gracaviana@globo.com
A 18 year-old man, presented with a ten years history of skin lesions all over his body (Figures A, B and C). Patient did not refer systemic symptoms. Physical exam was inconspicuous except for multiples papular skin lesions in face, trunk, scalp, arms, legs and genitalia. Complete blood count, liver and renal tests, glucose as well as chest X-ray were normal. VDRL and anti-HIV test were negative. Two 2 mM punch skin biopsies were done for histopathology. Histopathology showed skin sample presenting epidermis with hyperkeratosis, acanthosis, papillomatosis, hypergranulosis, prolongation of the net crests (Figures D and E). In the dermis we see inflammatory exudates with mononuclear leukocytes. Compatible morphologic aspect with verruca vulgaris. This patient was from endemic areas of cutaneous leishmaniasis and chromomycosis of Maranhão state, Northeastern Brazil. The verruca vulgaris is more frequent in the first ten years of live and prevalence is lower than 10% per year.
Publication Dates
-
Publication in this collection
30 July 2007 -
Date of issue
June 2007
