Xerosis. The accentuation of skin markings and fine scale illustrated here are typical of xerosis. The tendency toward dry skin tends to be inherited and is more common in families with a history of atopy. Low humidity, usually related to dry heat during the winter months, is an aggravating factor. Treatment of xerosis is aimed at rehydrating the stratum corneum. Emollients containing urea or alpha-hydroxy acids are particularly effective. Excessive bathing and the use of alkaline soaps must be avoided.
Verruca vulgaris. The common wart is a benign growth caused by localized infection with one of the many types of human papillomavirus. These small DNA viruses are part of the papovavirus group. Warts are especially common among children and adolescents and may occur on any mucocutaneous surface. The hands are a particularly frequent location. The typical wart is a roughsurfaced nodule that may be either lighter or darker than the surrounding skin.
Vascular malformations. These are congenital malformations that consist of capillary, venous, arterial, or lymphatic abnormalities. There are often combined alformations that comprise different types of vessels. Examples of vascular malformations include port-wine stains (capillary malformation), cystic hygroma (lymphatic malformation), and venous malformations. Vascular malformations are present at birth and grow proportionately with the child. Some vascular malformations may not manifest themselves until adolescence or adulthood. These figures represent venous malformations on the hand and foot.