case_images: PMC6585243_01
case_images: (a) Clinical photograph of the right ventral forearm showing white to skin-coloured flat-topped papules confined to areas of tattoo pigment. (b) Close-up of flat-topped papules with area of scale that developed after treatment with liquid nitrogen cryotherapy.
case_images: 10.1177_2050313X19857416-fig1.jpg
case_images: PMC6585243_01_10.1177_2050313X19857416-fig1.jpg
case_images: fig1-2050313X19857416
case_images: This 36-year-old man presented with a 6-month history of skin-coloured flat-topped papules within a black coloured tattoo (Figure 1).
case_images: (a) Histopathology of biopsy specimen stained with Hematoxylin and Eosin (H&E) showing verrucae planae (200x). (b) Higher magnification of verruca plana showing koilocytes consistent with HPV infection (400x). (c) Higher magnification of tattoo dye particles within the dermis (400x).
case_images: 10.1177_2050313X19857416-fig2.jpg
case_images: PMC6585243_01_10.1177_2050313X19857416-fig2.jpg
case_images: fig2-2050313X19857416
case_images: Histopathology revealed keratinocytes with HPV-induced changes and a diagnosis of verrucae planae was made by the pathologist (Figure 2).