case_images: PMC7529176_01
case_images: (a) Multiple hyperpigmented dome-shaped papules over the lower abdomen, (b) multiple flat wart-like lesions over the penis and scrotum
case_images: IJSTD-41-105-g001.jpg
case_images: PMC7529176_01_IJSTD-41-105-g001.jpg
case_images: F1
case_images: On examination multiple hyperpigmented dome shaped papules over lower abdomen. [Figure 1a] and some warty papules present over penis and scrotum. [Figure 1b] There were no hypopigmented macules over any part of body.
case_images: Hyperkeratosis, acanthosis, and vacuolated cells in the upper stratum malpighiand granular layer keratinocytes have basophilic cytoplasm containing keratohyalin granule (H and E, x4)
case_images: IJSTD-41-105-g002.jpg
case_images: PMC7529176_01_IJSTD-41-105-g002.jpg
case_images: F2
case_images: Keratinocytes have basophilic cytoplasm containing keratohyalin granules, suggestive of EDV [Figure 2].
case_images: Hyperkeratosis, acanthosis, and papillomatosis. The rete ridges were elongated and bent inward at both margins with large vacuolated cells in the upper stratum malpighi (H and E, x4)
case_images: IJSTD-41-105-g003.jpg
case_images: PMC7529176_01_IJSTD-41-105-g003.jpg
case_images: F3
case_images: Dermis showed mild perivascular lymphoplasmacytic infiltration [Figure 3].