Verrucous plaques on the nose and palate

Abstract

An 87-year-old immunocompetent woman presented with verrucous plaques on the nose and palate. About 4 months prior, she had a papule in the left naris. A biopsy found a benign squamous papilloma. The area gradually expanded to involve the exterior nose and palate (Fig 1). She lived in Iowa and traveled to Minnesota every summer but denied any recent respiratory or flulike illnesses. She had discomfort with eating but otherwise felt well. She denied fever, fatigue, weight loss, cough, and dysuria. A skin scraping (Fig 2 ) and punch biopsy (Fig 3) were obtained. A tissue culture was negative.