Correspondence |

A Pigmented, Hemorrhagic Genital Wart: Clinical, Dermoscopic, and Histopathologic Features

Fezal Ozdemir, MD; Isil Kilinc-Karaarslan, MD; Taner Akalin, MD
Arch Dermatol. 2008;144(8):1072-1073. doi:10.1001/archderm.144.8.1072.
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Figure 1.

A papillomatous, dome-shaped, gray-black lesion with a diameter of 10 × 20 mm on the pubis. A, Clinical view. B, Dermoscopically, exophytic papillary structures (some with jet black pigmentation), red dots (arrows), and an overall brainlike appearance are seen.

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Figure 2.

Histopathologic examination. A, The lesion shows an exophytic growth pattern with papillomatosis (left; original magnification ×40) and acanthosis (right; original magnification ×100) (hematoxylin-eosin). B, Hemorrhage within parakeratotic column (hematoxylin-eosin, original magnification ×40). C, Multiple koilocytes with perinuclear halo formation (white arrow) and a homogeneous intracytoplasmic inclusion body (black arrow) (hematoxylin-eosin, original magnification ×200). D, Melanin blockade melanocytes (Masson-Fontana stain, original magnification ×200); inset, overall appearance of melanin blockade melanocytes and increased melanin granules under Masson-Fontana stain (original magnification ×40).

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