case_images: PMC11785397_01
case_images: Solitary bruise-like verrucous 4x6 cm palpable plaque in the right heel.
case_images: cde-2025-0017-0001-533667_F01.jpg
case_images: PMC11785397_01_cde-2025-0017-0001-533667_F01.jpg
case_images: F1
case_images: Upon physical examination, a solitary bruise-like verrucous 4 x 6 cm palpable plaque was seen on the right heel (Fig. 1).
case_images: Histopathology of lobular compartment with increased eccrine glands and vascular channels juxtaposed to the nerve bundles in deep dermis. a Hyperkeratosis, moderate acanthosis, and low papillomatosis with irregular rete ridges. b, c Vascular component of small capillaries with variable dilation associated with mature-appearing eccrine glands in a lobular arrangement.
case_images: cde-2025-0017-0001-533667_F02.jpg
case_images: PMC11785397_01_cde-2025-0017-0001-533667_F02.jpg
case_images: F2
case_images: Histopathologic examination of the skin biopsy showed a lobular compartment with increased eccrine glands and vascular channels juxtaposed to the nerve bundles in the deep dermis (Fig. 2a, b). The overlying epidermis revealed hyperkeratosis, moderate acanthosis, and low papillomatosis with irregular rete ridges (Fig. 2c).