[Skip to Content]
[Skip to Content Landing]
Citations 0
Off-Center Fold
August 18, 2008

Painful Verrucous Plaque on the Right Index Finger—Quiz Case

Author Affiliations

Copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2008

Arch Dermatol. 2008;144(8):1051-1056. doi:10.1001/archderm.144.8.1051-a

A 60-year-old African American man with a 1.5-year history of a painful, enlarging growth on the tip of his right index finger was referred to our clinic. The patient was otherwise healthy. His personal and family histories were noncontributory.

Examination of the right index finger revealed a well-demarcated, verrucous, friable plaque on the distal, ulnar aspect (Figure 1). The lesion extended subungually. The rest of the examination was unremarkable. A biopsy of the lesion was performed, and the specimen was sent for histologic evaluation (Figure 2 and Figure 3).