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Correspondence | May 2010

Condylomata of the Pannus in 3 Obese Patients: A New Location for a Common Disease

C. Grant Staples, MD; Debbie Henderson, MD, MPH; Gregory J. Tsongalis, PhD; Martin Fernandez, MD; Jennifer Krejci-Manwaring, MD

Arch Dermatol. 2010;146(5):572-574. doi:10.1001/archdermatol.2010.74.

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Condylomata acuminata are cauliflower-like lesions involving the anogenital region and are usually considered sexually transmitted. They are caused by the human papillomavirus (HPV) genus, most commonly types 6 and 11.¹ There are rare reports of cutaneous nongenital lesions.²^- 3 We present herein 3 cases of obese patients with condylomata acuminata on the abdominal pannus fold.

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Figure 1.

Macerated red to violaceous papules and plaques in the abdominal pannus fold with background Candida intertrigo

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Figure 2.

Red verrucous papules and linear plaques involving the abdominal pannus fold. Note the similar lesions in the lower left corner from the patient's right inguinal fold.

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Figure 3.

Serial shave samples from case 2 (hematoxylin-eosin). A, Scanning view shows marked epidermal hyperplasia with a papillomatous architecture original magnification ×20. B, High-power view shows vacuolated keratinocytes and overlying parakeratosis, original magnification ×200).

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Staples C, Henderson D, Tsongalis GJ, Fernandez M, Krejci-Manwaring J. Condylomata of the Pannus in 3 Obese Patients: A New Location for a Common Disease. Arch Dermatol. 2010;146(5):572-574. doi:10.1001/archdermatol.2010.74.

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