A Rare Case Presentation of Warty Dyskeratoma Involving Multiple Adjoining Follicles

Abstract

Warty dyskeratoma is a rare epidermal tumour that mostly affects middle-aged and older people. It appears as a papule or nodule and usually affects the head and neck region. For the past 15 years, a 65-year-old woman has complained of nodular swelling across her right face with itching. The removed mass's histopathology exhibited hyperkeratotic, parakeratotic, and acanthotic epidermis with massive, numerous invaginations, lacunae, and villi development. Dyskeratotic acantholytic cells are prevalent in the stratum corneum and higher malpighi layer. According to the research, these changes are most commonly observed in single hair follicle. In our patient, there was no evidence of recurrence after excisional biopsy. We present a unique example of warty dyskeratoma involving several neighbouring hair follicles.