Which of the following best describes the lesions associated with hyperplasia/pseudoverrucous lesions?

• A. Wart-like papules, nodules, or both with a white-gray or reddish-brown discoloration
• B. Bleeding from lesions
• C. Painful or hypersensitive
• D. May have crystal-like deposits with urostomies

Answer: (A)

Lesions from hyperplasia/pseudoverrucous changes around a stoma are best described as wart-like papules or plaques that may appear as a white-gray or reddish-brown discoloration. This pattern reflects chronic irritation from urine or stoma effluent causing epidermal hyperplasia and verrucous tissue growth near the appliance. While other features like bleeding, pain, or hypersensitivity can occur with skin problems around a stoma, they are not the defining description of these lesions. Crystal-like deposits are not a characteristic feature of pseudoverrucous hyperplasia. The hallmark is the verrucous, wart-like appearance with distinctive color changes around the stoma, often related to persistent moisture or leakage.