case_images: PMC4318038_01
case_images: Lesion on perineal area
case_images: IJD-60-105d-g001.jpg
case_images: PMC4318038_01_IJD-60-105d-g001.jpg
case_images: F1
case_images: Dermatological examination revealed approximately a 7 x 8 cm well-marginated, hypertrophic, and verrucous plaque in the perineal region. [Figure 1] At places grayish crusts with shallow erosions and a purulent discharge was seen. [Figure 2] There was no similar lesion anywhere else on the body.
case_images: Erosions and crusts over the plaque
case_images: IJD-60-105d-g002.jpg
case_images: PMC4318038_01_IJD-60-105d-g002.jpg
case_images: F2
case_images: Dermatological examination revealed approximately a 7 x 8 cm well-marginated, hypertrophic, and verrucous plaque in the perineal region. [Figure 1] At places grayish crusts with shallow erosions and a purulent discharge was seen. [Figure 2] There was no similar lesion anywhere else on the body.
case_images: Paget's cells in H and E stain x10
case_images: IJD-60-105d-g003.jpg
case_images: PMC4318038_01_IJD-60-105d-g003.jpg
case_images: F3
case_images: Inflammatory infiltrate with invasion of Paget's cells into the dermis at places was seen [Figure 3].
case_images: Paget's cells in PAS stain x40
case_images: IJD-60-105d-g004.jpg
case_images: PMC4318038_01_IJD-60-105d-g004.jpg
case_images: F4
case_images: Cells were positive for PAS lying singly and in clusters also seen infiltrating along the skin appendages [Figure 4].