The American Society of Dermatopathology

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Interactive Case Study - January 2015

A 2-year-old girl with verrucous papules

Nouf Hijazi, MD; Jennifer M. McNiff, MD

Question 1:

A 2-year-old Dominican girl presented with verrucous papules on her neck, left shoulder ears and anus that have increased in number and size for one year. She also had joint contractures but no vocal cord involvement.

Zoomable Virtual Slide

Figure 1. H&E, 100x

Figure 2. H&E, 200x

Figure 3. H&E, 400x

What is the best diagnosis?