case_images: PMC4357678_01
case_images: Verrucous epidermal nevus in the interscapular region, showing a darkened papule with pearly shine in its central portion.
case_images: cde-0007-0020-g01.jpg
case_images: PMC4357678_01_cde-0007-0020-g01.jpg
case_images: F1
case_images: At examination, a dark-brown pearly shiny papule 0.5 cm in diameter was observed on a linear brownish verrucous lesion of about 12 cm in the interscapular region (fig. 1).
case_images: Dermoscopy showing a cerebriform pattern with follicular pseudo-openings and a large ovoid nest with arboriform vessels (x10).
case_images: cde-0007-0020-g02.jpg
case_images: PMC4357678_01_cde-0007-0020-g02.jpg
case_images: F2
case_images: Dermoscopy evidenced a cerebriform pattern with follicular pseudo-openings and a large ovoid nest with arboriform vessels (fig. 2).
case_images: Histopathology showing epidermis with hyperkeratosis, acanthosis, papillomatosis and clear basal melanic pigment: verrucous epidermal nevus (HE, x40).
case_images: cde-0007-0020-g03.jpg
case_images: PMC4357678_01_cde-0007-0020-g03.jpg
case_images: F3
case_images: A thin epidermis on the dermal lesion represented by groupings of basaloid cells with a peripheral nuclear palisade, compatible with BCC, was also observed (fig. 3, fig. 4).