Indian Journal of Dermatology
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  Official organ of AADV
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Year : 2015  |  Volume : 60  |  Issue : 3  |  Page : 264-267

Elephantine psoriasis with papillomatosis and alternating hypogranulosis and hypergranulosis

1 Department of Dermatology, B. S. Medical College, Bankura, West Bengal, India
2 Department of Dermatology, Dept of North Bengal Medical College, Susrutanagar, Darjeeling, West Bengal, India
3 Department of Pathology, BS Medical College, Bankura, West Bengal, India

Correspondence Address:
Sankha Koley
Department of dermatology, BS Medical College, Bankura, West Bengal
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.156367

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Psoriasis is a disease of considerable clinical and histopathological diversity. We report a rare case of elephantine psoriasis responding very well to methotrexate. Histopathology revealed abnormal papillomatosis with finger-like projections in addition to alternating orthokeratosis with overlying hypergranulosis and parakeratosis with overlying hypogranulosis. We believe that this finding may represent an odd histopathologic type in elephantine psoriasis.

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