Diagnosis: Warty dyskeratoma
Description: There is a keratin plugged invagination with acantholysis in the base.
Clinical Features: Follicular plugging
Pathology/Site Features: Acantholysis
Sex: M
Age: 56
Submitted By: Ian McColl
Differential Diagnosis
History: 0869eb Keratotic lesion on the leg which has been irritable. Dermatoscope image suggests dermatofibroma but unlikely clinically. Shave biopsy
Description: Warty dyskeratoma
Comments: Sections show a warty dyskeratoma. There is a keratin plugged invagination in which there is acantholytic dyskeratosis and suprabasalar clefting. There is no evidence of malignancy.