Korean J Dermatol.  2004 Aug;42(8):1076-1078.

A Case of Verrucous Hyperplasia with Lymphedema at the Distal Stump of a Below-the-knee Amputee

• Lee HW
• Suh HS
• Lee MW
• Choi JH
• Moon KC
• Koh JK

Abstract

Verrucous hyperplasia of the distal stump skin is a rare condition which shows multiple, irregular warty papules and plaques but histologically no evidence of viral warts. It has been suggested that verrucous hyperplasia results from persistent stump edema, usually when the distal stump is unsupported in the prosthesis socket. We present a 53-year-old male who showed verrucous plaques on the distal stump skin and also showed edematous change with oozing. He has been wearing a below-the-knee prosthesis for 35 years since a traumatic amputation and has not changed the prosthesis for 30 years. Histopathological findings showed hyperkeratosis, parakeratosis, acanthosis, papillomatosis, dermal edema, fibrosis, dermal vessel proliferation and dilatation. He was diagnosed as having verrucous hyperplasia with lymphedema by clinical and histopathological findings.

Keyword

Verrucous hyperplasia; Lymphedema; Amputation

MeSH Terms

Amputation
Amputation, Traumatic
Amputees*
Dilatation
Edema
Fibrosis
Humans
Hyperplasia*
Lymphedema*
Male
Middle Aged
Papilloma
Parakeratosis
Prostheses and Implants
Skin
Warts