Verrucous hyperkeratosis with predominant involvement of the left side of the body and concomitant onychodystrophy in a 17‐year‐old girl

Abstract

A 17-year-old female patient was referred to our department with the suspected diagnosis of ILVEN. Present since birth, the skin lesions predominantly affected the left side of her body. There was no associated pruritus or pain. The patient reported unsuccessful prior treatment attempts, including topical antifungal and keratolytic agents as well as corticosteroids. Her past medical history included left renal hypoplasia associated with vesicorenal reflux diagnosed in the second year of life. The patient's nonconsanguineous parents reported that neither her brother nor any other relatives were likewise affected. Her mother denied any miscarriages. Clinical findings Clinical examination showed extensive hyperkeratotic plaques with adherent scaling. The lesions affected the lateral