Acrokeratosis Verruciformis - DermAtlas

Contributor

Rakhesh SV, MD

Diagnosis

acrokeratosis verruciformis

Body Site

finger

Age

26 years

Pigmentation

medium

Organization

grouped, clustered

Color

white/hypo

Morphology

papulosquamous (bump, scale)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 26-year-old man developed numerous scaly, skin coloured, flat verrucuous papules on the dorsal aspect of fingers over 10 years. A skin biopsy revealed the typical change of acrokeratosis verruciformis (AV). AV, first described by Hopf in 1931, is a rare genetic disorder transmitted as autosomal dominant trait. Histopathological features include marked hyperkeratosis, hypergranulosis, acanthosis and charactereistic papillamatosis with epidermal elevations resembling church spires.

Description

symmetric grouped uniform flat topped warty 3-4 mm papules

Image Added

10/8/2005 11:38:43

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Other Resources

PubMed Medline Plus Medscape

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