You are correct. Histopathology showed typical findings for verruca vulgaris (common wart). Warts are generally diagnosed on clinical appearance (verruciform plaques with black dots), but this patient had some atypical features on dermoscopy (absence of perivascular whitish halos in all papillae, central vessels in many papillae, and presence of some papillar coalescence), which prompted a bx given the patient’s age and rapid growth of the plaque. The wart started regressing spontaneously 2 weeks after bx. At 9-month follow-up, the lesion hadn’t recurred, and residual scarring wasn’t present.

BMJ 2021;373:n1132