Epidermolytic acanthoma

Case 954  18.2.14 (M. Hurt) F 62 tan papule cheek 

Looked just like a flat HPV wart 

Ref:  Abbas,O. J Eur Acad Dermatol Venereol  2011; 25(2): 1175-80. 

Case 1186  8.1.15 (H. Diwan)  M 77 scrotum 

Odd appearance with focal area of epidermolysis with intra-corneal collection of almost naevoid-looking material with clumped keratohyaline.  Benign, usually solitary scrotal lesion.  Maybe HPV 16 related. 

Case 1522 25.4.16 (M. Hurt) F 47  lesion on arm 

Marked epidermolytic verrucous hyperkeratosis.  This histology can be from a solitary lesion, or part of a systemic epidermal naevus syndrome. 

Case 1571   4.7.16 (M. Hurt)  M 84 thigh 

Focal acanthotic lesion with marked hyperkeratosis, papillomatosis and epidermolysis.  HPV -ve 

Case 1580  15.7.16  (R. Carr)  M 60 genital area 

Hyperkeratotic papilloma with marked underlying epidermolytic changes.  Not uncommon on genitalia.  Confused with viral wart, but HPV not demonstrable. 

Case 2340  5.6.19  (H. Diwan) M 79 - solitary lesion on back. 

Looked like Flegel’s but epidermolytic changes 

Case 2890  4.8.21 (H. Diwan)  F 59 vulvar lesion