|Year : 2019 | Volume
| Issue : 4 | Page : 488-489
SkIndia Quiz 52: A verrucous growth over elbow of a young child
Ranjana Beniwal, Asit Mittal, Khushboo Gupta, Manisha Balai
Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur, Rajasthan, India
|Date of Web Publication||28-Jun-2019|
Department of Dermatology, Venereology and Leprology, R.N.T. Medical College, Udaipur -313 001, Rajasthan
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Beniwal R, Mittal A, Gupta K, Balai M. SkIndia Quiz 52: A verrucous growth over elbow of a young child. Indian Dermatol Online J 2019;10:488-9
|How to cite this URL:|
Beniwal R, Mittal A, Gupta K, Balai M. SkIndia Quiz 52: A verrucous growth over elbow of a young child. Indian Dermatol Online J [serial online] 2019 [cited 2021 Aug 2];10:488-9. Available from: https://www.idoj.in/text.asp?2019/10/4/488/258581
A 6-year-old male child presented to us with a single, asymptomatic, verrucous lesion over right elbow since 6 months. The lesion was initially small and slowly progressed with time to attain the present dimensions. Apart from a history of occasional bleeding after minor trauma, there were no other complaints. Physical examination revealed a solitary, slightly scaly, erythematous, verrucous nodule of about 1 × 1 × 1 cm in size over right elbow. The nodule was firm in consistency on palpation and did not elicit any tenderness [Figure 1]. The child was in good general health. A biopsy was taken from the lesion.
| Question|| |
What is your diagnosis?
Histology showed moderate epidermal hyperplasia with focal hypergranulosis [Figure 2]a, [Figure 2]b, [Figure 2]c, [Figure 2]d. Several vertically oriented small and medium sized nests of epithelioid melanocytes were seen at dermo-epidermal junction. The entire dermis was infiltrated by nests and small cords of spindled and epithelioid melanocytes with a sparse to moderately dense lymphocytic infiltrate. Immunohistochemistry showed positivity for S100 and Melan A [Figure 3]a and [Figure 3]b.
|Figure 2: (a-d) Histology showing vertically oriented nests of spindled and epithelioid melanocytes in the dermis (H and E stain ×2.5, ×5, ×10, and ×20)|
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|Figure 3: (a and b) Immunohistochemistry showing S100 (×10) and Melan A positivity (×10)|
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[Figure 1], [Figure 2], [Figure 3]