(A) Verrucous, papillomatous grayish-brown plaques in groins, medial aspects of the thigh, and scrotum. Similar lesions were found on neck and all other body folds. The patient had weight loss and wasting, and gastric adenocarcinoma was found. (B) Verrucous and papillomatous growths on the vermillion border of lips. Oral mucosa was velvety with deep furrows of the tongue. (C) Tripe palms. Palmar ridges show maximal accentuation resembling the mucosa of the stomach of a ruminant.