Case 180. Reference case 180A

　 　 　 　
　 Verruca vulgaris seen in the forearm of 13 y-o male, showing papillomatosis and hyperparakeratosis with koilocytosis (HE). 　
　 　 　 　

　

 　 Hypergranulosis with nuclear inclusions and perinuclear koilocytic changes is evident. Vacuoles remaining in the cornified layer are suggestive of HPV infeciton.