Back issues No.2 - 2012 / Resident Forum  

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Multiple brownish warty papulonodules on left dorsal hand
Che-Yi Chou, Shih-Wei Yeh

A 56-year-old nonobese man presented with progressive thickening and darkening of the left dorsal hand for 3 months. The patient denied any history of systemic disease, such as diabetes mellitus or other endocrinopathies, and there was no family history of malignancy. He reported no systemic symptoms such as weight loss, general malaise or melena, with the exception of a 1-month history of low back pain. Physical examination revealed multiple brownish warty papules and nodules over the left dorsal hand (Figure 1). An incisional biopsy of the plaque was performed and histopathological examination demonstrated pronounced hyperkeratosis, acanthosis, and papillomatosis (Figure 2).

Florid cutaneous papillomatosis (FCP).

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