BACKGROUND:
Verrucous skin lesions of lower limbs often brings a diagnostic dilemma to a treating Dermatologist . Much study has not been done on this subject. A proper workup is needed to arrive at a diagnosis. Verrucous skin lesions are more common on lower limbs than upper limbs.
Histopathological study is mandatory to differentiate these conditions. Usually we need deep biopsy. At times, serial biopsies should be taken to arrive at the diagnosis.
AIM OF THE STUDY:
To study the clinical and histopathological patterns of various verrucous skin lesions of lower limb and to find out the etiology of these verrucous skin lesions.
MATERIAL AND METHODS:
During the study period of one year from 1 August 2011 to 31st July 2012 in our outpatient department, Department of Dermatology, Coimbatore Medical College Hospital. All the patients with verrucous skin lesions of lower limbs of all age groups were included in the study. After clinical examination, patients underwent routine and certain special investigations to arrive at the diagnosis.
RESULT:
Out of hundred patients, the common causes of verrucous lesions over the lowerlimbs were hypertrophic lichen planus, wart, lichen simplex chronicus, psoriasis and lichen amyloidosis. The less common etiologies were porokeratosis, hypertrophic discoid lupus erythematosus, callosity and Elephantiasis nostros verrucosa cutis.
CONCLUSION:
Hypertrophic lichen planus, Lichen simplex chronicus and wart were the common etiological factors for the occurrence of verrucous skin lesions over the lower limbs. Porokeratosis, hypertrophic discoid lupus erythematosus, elephantiasis nostros verrucosa cutis were the least common cause of verrucous skin lesions of lower limbs. Patients with phlebolymphedema, verrucous carcinoma and verrucous skin lesions of neuropathy, males are mostly affected
