An unexpected guest
Amina Kissou, Badr Eddine Hassam
The Pan African Medical Journal. 2017;27:140. doi:10.11604/pamj.2017.27.140.13022

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An unexpected guest

Cite this: The Pan African Medical Journal. 28/06/2017 ;27:140. doi:10.11604/pamj.28/06/2017 .27.140.13022

Received: 10/06/2017 - Accepted: 18/06/2017 - Published: 28/06/2017

Key words: Lesion, amlodipine, papillomatosis, acanthosis

© Amina Kissou et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Corresponding author: Amina Kissou, IBN SINA University Hospital, Rabat, Morocco (

An unexpected guest

Amina Kissou1,&, Badr Eddine Hassam1


1IBN SINA University Hospital, Rabat, Morocco



&Corresponding author
Amina Kissou, IBN SINA University Hospital, Rabat, Morocco



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A 60-year-old woman, diabetic with amlodipine, consulted for a rapidly progressive lesion in the back of the hand. The examination found a hard, sessile, painful lesion with purple-colored and keratosic surface. It was 1cm in diameter. Total removal of the lesion with 2mm margin was indicated. The histological examination showed the presence of papillomatosis and acanthosis with koilocytes and the diagnosis of wart was retained. The clinical presentation of this lesion is a typical; it is a lesion on the dorsal margin of the hand, painful, purple-colored, with a rapid evolution in 01mois. A keratoacanthoma or epidermoid carcinomas were both suspected firstly. After resection there was no recurrence with a follow-up of 4 years.



Figure 1: sessile lesion on the hand






























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