Case Reports
22 October 2020
Vol. 12 No. 2 (2020)
A case of post-inflammatory warty dyskeratoma of the chest: Other dermoscopic features
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Warty Dyskeratoma (WD) is a rare condition consisting in single or multiple papular or nodular lesions of the skin or of the oral mucosamucosa. Histologically, a cupshaped epidermal invagination centred by a plug of epidermal hyperparakeratosis with suprabasal acantholysis and dyskeratosis is typically observed. A case of post-inflammatory WD, which was also observed by dermoscopy, is described. Dermoscopy showed an eight-shape whitish collarette surrounded by light brown pigmentation. A central white structureless area with an adjacent rosette were observed. Some small rust-coloured blood crusts were also observed in the centre of the lesion; no prominent vascular pattern was detected. The etiopathogenesis of this benign neoplasm could be multifactorial. Dermoscopy of WD is not specific but may help to ruling out other skin tumors.
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1. Helwig EB. Proceedings of the 20th seminar on skin neoplasms and dermatoses, International Congress of Clinical Pathologists, Washington, DC, Sept 1954. Published by the American Society of Clinical Pathology; 1955. 53-6.
2. Szymanski FJ. Warty dyskeratoma: a benign cutaneous tumor resembling Darier’s disease microscopically. Arch Dermatol 1957; 75: 567-72.
3. Graham JH, Helwig EB. Isolated dyskeratosis follicularis. AMA Arch Derm 1958; 77: 377-89
4. Ackerman AB. Focal acantholytic dyskeratosis. Arch Dermatol 1972; 106: 702-6.
5. Diallo M, Cribier B, Scrivener Y. Warty dyskeratoma: infundibular histogenesis. Anatomoclinical study of 43 cases. Ann Dermatol Venereol 2007; 134: 633-6
6. Kaddu S, Dong H, Mayer G, et al.. Warty dyskeratoma – “follicular dyskeratoma”: analysis of clinicopathologic features of a distinctive follicular adnexal neoplasm. J Am Acad Dermatol 2002; 47: 423-8.
7. Tanay A, Mehregan AH. Warty dyskeratoma. Dermatologica 1969; 138: 155-64.
8. Griffiths TW, Hashimoto K, Sharata HH, Ellis CN. Multiple warty dyskeratomas of the scalp. Clin Exp Dermatol 1997; 22: 189-91.
9. Martorell-Calatayud A, Sanmartin-Jimenez O, Traves V, Guillen C. Numerous umbilicated papules on the trunk: multiple warty dyskeratoma. Am J Dermatopathol 2012; 34: 674-5.
10. Ugras N, Adim SB, Kilicoglu M, Baskan EB. Multiple warty dyskeratomas: case report. Iran J Public Health 2014; 43: 1145-7.
11. Tiangco Torres KM, Junkins-Hopkins JM. Cystic acantholytic dyskeratosis of the vulva: an unusual presentation of a follicular adnexal neoplasm. Indian Dermatol Online J 2016; 7: 272-4.
12. Allon I, Buchner A. Warty dyskeratoma/focal acantholytic dyskeratosis- an update on a rare oral lesion. J Oral Pathol Med 2012; 41: 261-7.
13. Baran R, Perrin C. Focal subungual warty dyskeratoma. Dermatology 1997; 195: 278-80.
14. Vargas-Laguna E, Imbernón-Moya, Aguillar-Martinez A, Burgos F. An unusual location of subungual warty dyskeratoma: a case report and review of the literature. Case Rep Dermatol Med doi: 10.1155/2017/3613109.
15. DiMaio DJ, Cohen PR. Incidental focal acantholytic dyskeratosis. J Am Acad Dermatol 1998; 38: 243-7.
16. Salerni G, Alonso C, Calligaris M, et al. Dermoscopy of multiple warty dyskeratoma. Dermatol Pract Concept 2017; 7: 47-9.
17. Nakagawa T, Umekage K, Komatsu S, et al. Case of warty dyskeratoma with unique dermoscopic features. J Dermatol 2018; 45: e74-e75.
18. Lencastre A, Campos S, Cabete J. Warty dyskeratoma. J Am Acad Dermatol 2016; 75: e97-e98.
19. Isaka Y, Matsuda H, Ogita A, et al. Case of warty dyskeratoma on the anterior chest: the relationship between its dermoscopic and histopathological findings. J Dermatol 2018; 45: e171-e172.
20. Di Brizzi EV, Russo T, Piccolo V, et al. Warty dyskeratomas: clinical and dermoscopic features. Int J Dermatol 2019; 58: e229-e231.
2. Szymanski FJ. Warty dyskeratoma: a benign cutaneous tumor resembling Darier’s disease microscopically. Arch Dermatol 1957; 75: 567-72.
3. Graham JH, Helwig EB. Isolated dyskeratosis follicularis. AMA Arch Derm 1958; 77: 377-89
4. Ackerman AB. Focal acantholytic dyskeratosis. Arch Dermatol 1972; 106: 702-6.
5. Diallo M, Cribier B, Scrivener Y. Warty dyskeratoma: infundibular histogenesis. Anatomoclinical study of 43 cases. Ann Dermatol Venereol 2007; 134: 633-6
6. Kaddu S, Dong H, Mayer G, et al.. Warty dyskeratoma – “follicular dyskeratoma”: analysis of clinicopathologic features of a distinctive follicular adnexal neoplasm. J Am Acad Dermatol 2002; 47: 423-8.
7. Tanay A, Mehregan AH. Warty dyskeratoma. Dermatologica 1969; 138: 155-64.
8. Griffiths TW, Hashimoto K, Sharata HH, Ellis CN. Multiple warty dyskeratomas of the scalp. Clin Exp Dermatol 1997; 22: 189-91.
9. Martorell-Calatayud A, Sanmartin-Jimenez O, Traves V, Guillen C. Numerous umbilicated papules on the trunk: multiple warty dyskeratoma. Am J Dermatopathol 2012; 34: 674-5.
10. Ugras N, Adim SB, Kilicoglu M, Baskan EB. Multiple warty dyskeratomas: case report. Iran J Public Health 2014; 43: 1145-7.
11. Tiangco Torres KM, Junkins-Hopkins JM. Cystic acantholytic dyskeratosis of the vulva: an unusual presentation of a follicular adnexal neoplasm. Indian Dermatol Online J 2016; 7: 272-4.
12. Allon I, Buchner A. Warty dyskeratoma/focal acantholytic dyskeratosis- an update on a rare oral lesion. J Oral Pathol Med 2012; 41: 261-7.
13. Baran R, Perrin C. Focal subungual warty dyskeratoma. Dermatology 1997; 195: 278-80.
14. Vargas-Laguna E, Imbernón-Moya, Aguillar-Martinez A, Burgos F. An unusual location of subungual warty dyskeratoma: a case report and review of the literature. Case Rep Dermatol Med doi: 10.1155/2017/3613109.
15. DiMaio DJ, Cohen PR. Incidental focal acantholytic dyskeratosis. J Am Acad Dermatol 1998; 38: 243-7.
16. Salerni G, Alonso C, Calligaris M, et al. Dermoscopy of multiple warty dyskeratoma. Dermatol Pract Concept 2017; 7: 47-9.
17. Nakagawa T, Umekage K, Komatsu S, et al. Case of warty dyskeratoma with unique dermoscopic features. J Dermatol 2018; 45: e74-e75.
18. Lencastre A, Campos S, Cabete J. Warty dyskeratoma. J Am Acad Dermatol 2016; 75: e97-e98.
19. Isaka Y, Matsuda H, Ogita A, et al. Case of warty dyskeratoma on the anterior chest: the relationship between its dermoscopic and histopathological findings. J Dermatol 2018; 45: e171-e172.
20. Di Brizzi EV, Russo T, Piccolo V, et al. Warty dyskeratomas: clinical and dermoscopic features. Int J Dermatol 2019; 58: e229-e231.
How to Cite
A case of post-inflammatory warty dyskeratoma of the chest: Other dermoscopic features. (2020). Dermatology Reports, 12(2). https://doi.org/10.4081/dr.2020.8791
