Warty Dyskeratoma Clinical Presentation

Updated: Nov 04, 2021
  • Author: Molly Ann Allen Hinshaw, MD; Chief Editor: Dirk M Elston, MD  more...
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Presentation

History

Warty dyskeratoma (WD) commonly presents as an asymptomatic keratotic nodule. Scalp, face, and neck are common sites of involvement. Mucosal lesions have been reported. [2, 3, 5, 13] Multiple lesions in the same patient have been reported. [6, 7, 14] Patients may report an insidious onset or a slight recent enlargement of the lesion.

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Physical Examination

Warty dyskeratoma (WD) presents as a whitish or grayish hyperkeratotic papule with an umbilicated center, often involving the face, scalp, or back. Lesions are usually smaller than 1-2 cm.

Rarely, lesions with a similar appearance can be found involving the mucosal surfaces. [2, 3, 5, 13] Infrequently, subungual warty dyskeratoma occurs and when it does it produces longitudinal erythronychia. [15, 16] Multiple lesions may occur in exceptional cases. [6, 7, 14]

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