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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

VERRUCOUS PLAQUES
689
Schneiderman page 600-722.qxd 5/16/2006 6:51 PM Page 689


Symmetric progressive erythrokeratoderma
Urostomy site – pseudoverrucous peristomal lesions – warty
papules at mucocutaneous junction 
Rook p.930, 1998,
Sixth Edition; JAAD 19:623–632, 1988
Verrucous hyperplasia of the stump
Terra firme (dermatosis neglecta) 
AD 135:728–729, 1999
PSYCHOCUTANEOUS DISEASES
Factitial cheilitis – cobblestoned lips 
Ped Derm 16:12–15, 1999
SYNDROMES
CHILD syndrome – with verruciform xanthoma 
Ped Derm
15:360–366, 1998
Cobb’s syndrome (cutaneomeningospinal angiomatosis) –
segmental port wine stain and vascular malformation of the
spinal cord 
AD 113:1587–1590, 1977; NEJM 281:1440–1444,
1969; Ann Surg 62:641–649, 1915; port wine stain may be
keratotic 
Dermatologica 163:417–425, 1981; angiokeratoma-like
lesions 
Cutis 71:283–287, 2003; with verrucous angioma
Dermatologica 163:417–425, 1981
Ectodermal dysplasias
Epidermodysplasia verruciformis
Gall–Galli syndrome – Dowling–Degos disease with
acantholysis – hyperkeratotic follicular papules
JAAD 45:760–763, 2001
Goltz’s syndrome (focal dermal hypoplasia) (papule) 
– X-linked
dominant, possible autosomal dominant; terminal deletion of the
short arm of the X chromosome; cutaneous, musculoskeletal
(80%), ocular (80%), and oral abnormalities; hypoplastic and
atrophic skin changes, linear and reticulated hypo and
hyperpigmentation, lipomatous lesions, periorificial and mucous
membrane papillomas and telangiectasias; xerosis,
photosensitivity, nail changes, alopecia, sparse brittle hair;
musculoskeletal involvement includes syndactyly, hypoplastic or
absent digits, asymmetry of the body, scoliosis, hand and foot
bony anomalies; ocular changes include colobomas,
microphthalmia, strabismus, nystagmus, lens subluxation; oral
anomalies include enamel defects, dysplastic teet, irregular
spacing, agenesis of teeth, oral papillomas, microdontia, high
arched palate 
JAAD 28:839–843, 1993
Hyper-IgE syndrome (Buckley’s syndrome) 
Incontinentia pigmenti – X-linked dominant. Xp28 or Xp11.21
locations; progressive persistent verrucous plaques; skin lesions
present in 50% at birth and in 90% by 2 weeks of life; dental
abnormalities in two-thirds of patients, ocular in 25–35%, and
CNS defects in one-third 
JAAD 47:169–187, 2002; AD
124:29–30, 1988 ; verrucous subungual lesions Dermatol
191 (2):161–163, 1995; AD 122:1431–1434, 1986; linear warty
lesions of palms in late incontinentia pigmenti 
BJD
143:1102–1103, 2000
Keratosis–ichthyosis–deafness syndrome (KID syndrome) 
Ped
Derm 15:219–221, 1998
Keratosis lichenoides chronica
Klippel–Trenaunay–Weber – angiokeratomas; epidermal nevi
BJD 123:539, 1990
Lipoid proteinosis (Urbach–Wiethe disease) – autosomal
recessive; yellow verrucous plaques and nodules on extensor
surfaces; asymptomatic visceral involvement of multiple organs;
extracellular hyaline-like material in dermis; PAS positive and
diastase resistant; probably represents glycoproteins and/or
proteoglycan complexes 
BJD 151:413–423, 2004; JID
120:345–350, 2003; BJD 148:180–182, 2003; Hum Molec
Genet 11:833–840, 2002; JAAD 39:149–171, 1998; Ped Derm
14:22–25, 1997; JAAD 21:599–601, 605, 1989
Mal de Meleda – keratotic (verrucous) plaques of the elbows 
AD
136:1247–1252, 2000
McCune–Albright syndrome – epidermal nevi 
Eur J Pediatr
154:102–104, 1995
Netherton’s syndrome – flexural verrucous hypertrophy
Olmsted syndrome (nose and lips) – congenital palmoplantar
and periorificial keratoderma which improves in adolescence;
linear keratoses in flexures; keratosis pilaris-like lesions;
leukokeratosis of the tongue; alopecia, onychodystrophy,
anhidrosis of palms and soles; missing premolar; hyperlaxity of
the joints 
Ped Derm 21:603–605, 2004; Ped Derm 20:323–326,
2003; BJD 136:935–938, 1997; AD 132:797–800, 1996;
AD 131:738–739, 1995; JAAD 10:600–610, 1984
Pachyonychia congenita 
Ped Derm 14:491–493, 1997
Phakomatosis pigmentokeratotica – coexistence of an organoid
nevus (epidermal nevus) and a contralateral segmental
lentiginous or papular speckled lentiginous nevus 
Dermatology
194:77–79, 1997
Phakomatosis pigmentovascularis – port wine stain,
oculocutaneous (dermal and scleral) melanosis, CNS
manifestations; type I – port wine stain and linear epidermal
nevus; type II – port wine stain and dermal melanocytosis;
type III – port wine stain and nevus spilus; type IV – port wine
stain, dermal melanocytosis, and nevus spilus 
J Dermatol
26:834–836, 1999; AD 121:651–653, 1985
Proteus syndrome – epidermal nevi, port wine stains,
subcutaneous hemangiomas and lymphangiomas,
lymphangioma circumscriptum, hemihypertrophy of the face,
limbs, trunk; macrodactyly, cerebriform hypertrophy of palmar
and/or plantar surfaces, macrocephaly 
JAAD 52:834–838, 2005;
AD 140:947–953, 2004; AD 137:219–224, 2001, sebaceous nevi
with hyper- or hypopigmentation 
Am J Med Genet 27:99–117,
1987; vascular nevi, soft subcutaneous masses; lipodystrophy,
café au lait macules, linear and whorled macular pigmentation
Arch Fr Pediatr 47:441–444, 1990 (French); Am J Med Genet
27:87–97, 1987; Pediatrics 76:984–989, 1985; Eur J Pediatr
140:5–12, 1998
Reiter’s syndrome – keratoderma blenorrhagicum; soles,
pretibial areas, dorsal toes, feet, fingers, hands, nails, scalp
Rook p.2765–2766, 1998; Semin Arthritis Rheum 3:253–286,
1974
Rothmund–Thomson syndrome (poikiloderma congenitale) 

autosomal recessive; photodistributed poikiloderma with
juvenile cataracts, short stature, absent or shortened digits,
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