case_images: PMC10657768_01
case_images: Continued.
case_images: IMCRJ-16-739-g0001.jpg
case_images: PMC10657768_01_IMCRJ-16-739-g0001.jpg
case_images: f0001a
case_images: Physical examination indicated extensive verrucous and hyperkeratotic papules, plaques, and nodules on the lower abdomen, pubic, inguinal, genital, and gluteal region ranging from 0.3x0.3x0.2 cm to 6x3x0.7 cm (Figure 1a). During the one-month follow-up after the third injection, no improvement was observed in either the size or number of lesions (Figure 1b-d).
case_images: (a-d) Clinical manifestation before treatment (a); after first injection (b); second injection (c); and third injection (d).
case_images: IMCRJ-16-739-g0002.jpg
case_images: PMC10657768_01_IMCRJ-16-739-g0002.jpg
case_images: f0001b
case_images: HPV types 6 and 11. Histopathology showed keratinized stratified squamous epithelium with hyperplastic, acanthosis, hyperkeratosis, and papillomatosis figure (Figure 2a and b). Koilocytosis (Figure 2c) was observed in some nuclei, but there were no signs of malignancy.