Verrucous papule on thigh

The Journal of Family Practice. 2010 November;59(11):645-648

November 1, 2010|The Journal of Family Practice

Thomas M. Beachkofsky, MD;Sarah M. Clark, MD;Oliver J. Wisco, DO, FAAD

Was this lesion the result of sun exposure, or a recent trauma to the patient’s leg?

A 21-year-old man came into our medical center to have a lesion on his thigh examined. He said the lesion developed a few months earlier at the site of minimal trauma. He noted that, over the previous few months, the lesion had progressively darkened and it bled sporadically. On examination, we noted a solitary 7.5-mm firm, blue-black verrucous papule over the right medial thigh (FIGURES 1A AND 1B). There were no other lesions.

The patient indicated that he had gotten sunburned many times in the past. He also said that he had an aunt who’d had a melanoma.

FIGURE 1
A lesion that bled sporadically

This papule on the medial aspect of the patient’s right thigh developed after minimal trauma to the area. The lesion had been getting progressively darker.

WHAT IS YOUR DIAGNOSIS?
HOW WOULD YOU TREAT THIS PATIENT?

References

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