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A rare case of
large, unusual, and mutilating verruca vulgaris with cutaneous horns
treated with plastic surgery.Cutis.
2007 Aug;80 (2):145-8.
Cutaneous horn is
a morphologic designation for a protuberant mass of keratin produced
by unusual cohesiveness of keratinized material. We report a rare case
of large, unusual, and mutilating verruca vulgaris with cutaneous
horns in a 39-year-old male peasant. To our knowledge, this is the
first case of the underlying phalangeal bones being largely
demolished, resulting in serious mutilation. The patient was
successfully treated with plastic surgery. Of note in this case is the
bone absorption of the terminal phalanges and loss of hand function.
Inflammatory changes in
verruca vulgaris.J
Cutan Pathol. 1980 Aug;7(4):217-21.
Forty-one (8%) of
500 randomly selected biopsy specimens in verruca vulgaris showed
evidence of inflammation. The inflammation was lymphocytic and
lichenoid in 21 specimens and was associated with papillary hemorrhage
and infarction in 23. Clinical review indicated that patients of all
ages were represented but that there was a predominance of verrucae of
the extremities in older patients. The data suggest the possibility of
a distinct solitary acral verruca in the elderly. |