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Figure 8: A (a) AV persisting over 3 decades in a 47 year old male with oral, genital involvement and guttate acral lesions in 2001. (b). Same patient as in 8a seen after 8 years-The lower lip showing leucoplakia and a crusted erosion, which on biopsy had features of invasive SCC. (c) Sclerotic guttate lesion over dorsum of hand.(d) Prepucial vitiligo lesions transformed in to milky white depressed atrophic plaques

Figure 8: A (a) AV persisting over 3 decades in a 47 year old male with oral, genital involvement and guttate acral lesions in 2001. (b). Same patient as in 8a seen after 8 years-The lower lip showing leucoplakia and a crusted erosion, which on biopsy had features of invasive SCC. (c) Sclerotic guttate lesion over dorsum of hand.(d) Prepucial vitiligo lesions transformed in to milky white depressed atrophic plaques