Question 1:
A 2-year-old Dominican girl presented with verrucous papules on her neck, left shoulder ears and anus that have increased in number and size for one year. She also had joint contractures but no vocal cord involvement.
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Figure 1. H&E, 100x
Figure 2. H&E, 200x
Figure 3. H&E, 400x
What is the best diagnosis?