An unexpected guest
Amina Kissou, Badr Eddine Hassam
The Pan African Medical Journal. ;27:140. doi:10.11604/pamj..27.140.13022

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Images in clinical medicine

An unexpected guest

Amina Kissou, Badr Eddine Hassam
Pan Afr Med J. 2017; 27:140. doi:10.11604/pamj.2017.27.140.13022. Published 28 Jun 2017

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.

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

©Amina Kissou et al. 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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