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October 1984

Verruciform Xanthoman of the Scrotum

Author Affiliations

From the Department of Dermatology, Keio University School of Medicine, Tokyo.

Arch Dermatol. 1984;120(10):1378-1379. doi:10.1001/archderm.1984.01650460118032

Verruciform xanthoma, a rare histopathologic entity first described by Shafer in 1971, consists of two major elements—a papillomatous proliferation of epithelial or epidermal cells and xanthomatous foam cell infiltrates present in the papillary dermis. Verruciform xanthoma is usually found on the oral mucosa,1 but it also occurs, on rare instances, on the skin of the vulva,2 groin,3 and penis,4 and has been reported to develop in an epithelial nevus.5I describe three patients with verruciform xanthoma arising on the scrotum.

Report of Cases 

Case 1.—  A 76-year-old healthy man had lesions on the scrotum of one year's duration. Physical examination showed a 7-mm

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