Correct Answer: E. Epithelial cells with cytoplasmic vacuoles

 

Explanation: This is a wart, which on histology has epithelial cells with cytoplasmic vacuoles refered to as koilocytes. A. is seen with arthropod bites. B. is seen in cutaneous vasculitis. C. is in Darier. D. Elastosis perforans serpiginosa.

Reference: Dermatology. Bolognia, Jorizzo, Schaffer. 3rd ed. Ch 96.