1
|
Yano D, Ohsawa I, Suga Y, Mitsuishi T. Unusual clinical presentation of extragenital condyloma acuminatum. J Dermatol 2024. [PMID: 38433364 DOI: 10.1111/1346-8138.17184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2023] [Revised: 01/15/2024] [Accepted: 02/19/2024] [Indexed: 03/05/2024]
Affiliation(s)
- Daisuke Yano
- Department of Dermatology, Japanese Red Cross Saitama Hospital, Chuo-ku, Saitama, Japan
- Department of Dermatology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan
| | - Ikuroh Ohsawa
- Department of Biological Process of Aging, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan
| | - Yasushi Suga
- Department of Dermatology, Juntendo University Urayasu Hospital, Urayasu, Chiba, Japan
| | - Tsuyoshi Mitsuishi
- Department of Dermatology, Japanese Red Cross Saitama Hospital, Chuo-ku, Saitama, Japan
| |
Collapse
|
2
|
Kuriyama Y, Kosaka M, Kaneko A, Nishioka H, Anzawa K, Hattori T, Igarashi N, Tamura M, Motegi SI, Shimizu A. Skin surface material for detecting human papillomavirus infection of skin warts. J Dermatol 2023; 50:1450-1458. [PMID: 37622192 DOI: 10.1111/1346-8138.16920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 07/18/2023] [Accepted: 07/28/2023] [Indexed: 08/26/2023]
Abstract
Warts, caused by human papillomavirus (HPV) infection, have various clinical presentations, making them difficult to differentiate from clavus, callus, and sometimes, squamous cell carcinoma. Although skin biopsies are the gold standard, a less-invasive method of examining these lesions is desired. Ninety patients with warts and related diseases, such as clavus and callus, were recruited to explore new differentiation methods using the surface of the warts. DNA was extracted from three types of specimens in each case: surface swab, shaved hyperkeratotic scale, and post-shaved surface swab. Total DNA was successfully extracted from these three specimens and was sufficient for subsequent HPV DNA detection. We analyzed samples for the HPV type and HPV viral load using polymerase chain reaction (PCR). Fifty-five cases were PCR-positive, and HPV1a, 2a, 4, 27, 57, and 65 were detected. The amount of HPV1a DNA produced was significantly greater than that of other HPV types. Regarding the correlation between the clinical diagnosis and HPV detection, the positive agreement rate was 90.9%, the negative agreement rate was 40.0%, and the overall agreement rate was 71.1%. Ten of the 21 cases clinically diagnosed as plantar warts were PCR-negative, especially in elderly patients. This suggests that it is difficult to distinguish plantar warts from clavus and callus in clinical practice. Although the amount of HPV DNA in the removed keratinization scale was highest for all HPV types, HPV detection by swabbing before and after shaving is also useful for follow-up as well as for differential diagnosis.
Collapse
Affiliation(s)
- Yuko Kuriyama
- Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Mieko Kosaka
- Diagnostics Division, Maruho Co., Ltd., Osaka, Japan
| | - Akira Kaneko
- Diagnostics Division, Maruho Co., Ltd., Osaka, Japan
| | | | - Kazushi Anzawa
- Department of Dermatology, Kanazawa Medical University, Kanazawa, Japan
| | | | | | - Masaaki Tamura
- Department of Dermatology, Sano Kousei General Hospital, Sano, Japan
| | - Sei-Ichiro Motegi
- Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan
| | - Akira Shimizu
- Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan
- Department of Dermatology, Kanazawa Medical University, Kanazawa, Japan
| |
Collapse
|
3
|
Holanda GDM, Ravelli GR, Fantini BDC, Souza CDS. Longitudinal melanonychia: a rare presentation of Bowen's disease. An Bras Dermatol 2023; 98:701-703. [PMID: 37202248 PMCID: PMC10404543 DOI: 10.1016/j.abd.2022.01.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 01/10/2022] [Accepted: 01/10/2022] [Indexed: 05/20/2023] Open
Affiliation(s)
- Guilherme de Medeiros Holanda
- Division of Dermatology, Department of Internal Medicine, Ribeirão Preto Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Guilherme Raya Ravelli
- Department of Pathology and Forensic Medicine, Ribeirão Preto Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
| | - Bruno de Carvalho Fantini
- Division of Dermatology, Department of Internal Medicine, Ribeirão Preto Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Cacilda da Silva Souza
- Division of Dermatology, Department of Internal Medicine, Ribeirão Preto Faculty of Medicine, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| |
Collapse
|
4
|
Shimizu A, Yamaguchi R, Kuriyama Y. Recent advances in cutaneous HPV infection. J Dermatol 2023; 50:290-298. [PMID: 36601717 DOI: 10.1111/1346-8138.16697] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2022] [Revised: 12/08/2022] [Accepted: 12/12/2022] [Indexed: 01/06/2023]
Abstract
More than 200 types of human papillomavirus (HPV) have been reported to date and have been associated with various dermatological diseases. Among dermatological diseases, viral verrucae are the most commonly reported to be associated with HPV. Epidermodysplasia verruciformis (EV) consists of three types: typical EV is an autosomal recessive genetic disorder with TMC6/TMC8 gene mutations, atypical EV develops due to various gene mutations that cause immunodeficiency, and acquired EV develops due to acquired immunodeficiency. Generalized verrucosis differs from EV in that it involves numerous verrucous nodules (mainly on the limbs), histopathologically no blue cells as seen in EV, and infection with cutaneous α-HPVs as well as β-HPVs. HPV-induced skin malignancies include squamous cell carcinoma (SCC) caused by β-HPV (especially HPV types 5 and 8) in EV patients, organ transplant recipients, and healthy individuals, and SCC of the vulva and nail unit caused by mucosal high-risk HPV infection. Carcinogenesis of β-HPV is associated with sunlight. Mucosal high-risk HPV-associated carcinomas may also be sexually transmitted. We focused on Bowen's disease of the nail, which has been the subject of our research for a long time and has recently come to the fore in the field of dermatology.
Collapse
Affiliation(s)
- Akira Shimizu
- Department of Dermatology, Kanazawa Medical University, Uchinada, Japan
| | - Reimon Yamaguchi
- Department of Dermatology, Kanazawa Medical University, Uchinada, Japan
| | - Yuko Kuriyama
- Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi City, Japan
| |
Collapse
|
5
|
Musaddique Ansari SM, Gupta A, Nayak CS. Bowen's disease on two different unrelated anatomical sites (genitals and nail) in succession in an immunocompromised patient. Indian J Sex Transm Dis AIDS 2022; 43:189-191. [PMID: 36743119 PMCID: PMC9891023 DOI: 10.4103/ijstd.ijstd_2_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 07/25/2022] [Accepted: 07/25/2022] [Indexed: 11/17/2022] Open
Abstract
Bowen's disease (BD) is a premalignant condition. Its exact etiology is unknown but chronic arsenic and sun exposure, and human papillomavirus infection is known predisposing factors. Pigmented lesions of BD represent 1.7%-5.5% of all BD cases. BD in the nail unit is challenging due to its varied clinical presentations such as fissure, ulceration, warty lesion, paronychia, onychocryptosis, and nail dystrophy. We present the case of a 43-year-old married, immunocompromised male (HIV), with a CD 4 count of 478, on tenofovir, atazanavir boosted with ritonavir regimen, known diabetic presented with multiple asymptomatic discrete, rounded, hyperpigmented verrucous papules on both surfaces of shaft of penis and scrotum and a single, 4 cm × 3 cm, irregular, smooth surfaced, hyperpigmented plaque, on the base of the penis extending to the upper part of the scrotum of 1-year duration with history of multiple unprotected sexual exposures with unknown female partners. Regional lymphadenopathy and systemic complaints were absent. Biopsy from hyperpigmented verrucous papule and hyperpigmented plaque was consistent with verruca vulgaris and pigmented Bowen's disease, respectively. The patient was lost to follow-up. Ten months later, he presented with longitudinal melanonychia with a subungual hyperpigmented mass protruding beyond the distal nail margin near the lateral nail fold of the right middle finger nail with an absent Hutchinson's sign. Longitudinal excisional biopsy of nail lesion was consistent with BD. He was started on 5-fluorouracil 5% for BD of genitals and podophyllin application for verruca vulgaris with remarkable improvement in both the lesions and there is no recurrence of nail lesion after 9 months of excision.
Collapse
Affiliation(s)
| | - Ankit Gupta
- Department of Dermatology, M.D. D.V.L, T.N.M.C and B.Y.L Nair Charitable Hospital, Mumbai, Maharashtra, India
| | - Chitra Shivanand Nayak
- Department of Dermatology, M.D. D.V.L, T.N.M.C and B.Y.L Nair Charitable Hospital, Mumbai, Maharashtra, India
| |
Collapse
|
6
|
Shimizu A, Kuriyama Y, Hasegawa M, Tamura A, Ishikawa O. Nail squamous cell carcinoma: A hidden high-risk human papillomavirus reservoir for sexually transmitted infections. J Am Acad Dermatol 2019; 81:1358-1370. [PMID: 30930083 DOI: 10.1016/j.jaad.2019.03.070] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2019] [Revised: 03/20/2019] [Accepted: 03/20/2019] [Indexed: 10/27/2022]
Abstract
Human papillomavirus (HPV) causes cervical cancer, anal cancer, vulvar cancer, vaginal cancer, penile cancer, and oropharyngeal cancer. Squamous cell carcinoma (SCC) in the genital region in particular is recognized to be caused by HPV infection, and intraepithelial lesions of the penis and vulva are termed penile intraepithelial neoplasia and vulvar intraepithelial neoplasia, respectively. Although SCC of the nail apparatus is recognized as being associated with high-risk HPVs, it is not well-known in general medicine, and its analysis has been insufficient. In this article, we reviewed 136 cases of HPV-associated nail SCC and SCC in situ and delineated their clinical characteristics. We found that half of the cases were high-risk HPV-associated. Almost all of the types were high-risk α-HPVs. This disease had a male dominance and left hand digit 3 and right hand digits 1-3 were typically affected. In this review, 24% of the cases of nail SCC had a history of other HPV-associated diseases, suggesting the possibility of genitodigital transmission. We propose that nail SCC is a hidden high-risk HPV-associated reservoir and should be recognized as a sexually transmitted infection.
Collapse
Affiliation(s)
- Akira Shimizu
- Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan.
| | - Yuko Kuriyama
- Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan
| | | | | | - Osamu Ishikawa
- Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan
| |
Collapse
|
7
|
|
8
|
Valdebran M, Parikh K, Sarnoff DS, Elston DM. Irregular pigmented lesion on the genital area. Indian Dermatol Online J 2016; 7:117-8. [PMID: 27057495 PMCID: PMC4804581 DOI: 10.4103/2229-5178.178098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Affiliation(s)
| | - Kruti Parikh
- Robert Wood Johnson Medical School, Pscataway, NJ, USA
| | - Deborah S Sarnoff
- Cosmetique Dermatology, Laser and Plastic Surgery, LLP. Greenvale, NY, USA
| | - Dirk M Elston
- Ackerman Academy of Dermatopathology, New York, NY, USA
| |
Collapse
|
9
|
Shimizu A, Kato M, Takeuchi Y, Sano T, Kaira K, Uezato H, Ishikawa O. Detection of human papillomavirus (
HPV
) in patients with squamous cell carcinoma and the clinical characteristics of
HPV
‐positive cases. Br J Dermatol 2014; 171:779-85. [DOI: 10.1111/bjd.13234] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/25/2014] [Indexed: 12/12/2022]
Affiliation(s)
- A. Shimizu
- Department of Dermatology Gunma University Graduate School of Medicine 3‐39‐22 Showa‐machi Maebashi Gunma371‐8511 Japan
| | - M. Kato
- Department of Dermatology Gunma University Graduate School of Medicine 3‐39‐22 Showa‐machi Maebashi Gunma371‐8511 Japan
| | - Y. Takeuchi
- Department of Dermatology Gunma University Graduate School of Medicine 3‐39‐22 Showa‐machi Maebashi Gunma371‐8511 Japan
| | - T. Sano
- Department of Diagnostic Pathology Gunma University Graduate School of Medicine 3‐39‐22 Showa‐machi Maebashi Gunma371‐8511 Japan
| | - K. Kaira
- Department of Oncology Clinical Development Gunma University Graduate School of Medicine 3‐39‐22 Showa‐machi Maebashi Gunma371‐8511 Japan
| | - H. Uezato
- Department of Dermatology Graduate School of Medicine University of the Ryukyus 207 Uehara Nishihara Okinawa 903‐0215 Japan
| | - O. Ishikawa
- Department of Dermatology Gunma University Graduate School of Medicine 3‐39‐22 Showa‐machi Maebashi Gunma371‐8511 Japan
| |
Collapse
|
10
|
Murao K, Yoshioka R, Kubo Y. Human papillomavirus infection in Bowen disease: Negative p53 expression, not p16INK4aoverexpression, is correlated with human papillomavirus-associated Bowen disease. J Dermatol 2014; 41:878-84. [DOI: 10.1111/1346-8138.12613] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2014] [Accepted: 07/31/2014] [Indexed: 01/10/2023]
Affiliation(s)
- Kazutoshi Murao
- Department of Dermatology; Institute of Health Biosciences; University of Tokushima Graduate School; Tokushima Japan
| | - Rika Yoshioka
- Department of Dermatology; Institute of Health Biosciences; University of Tokushima Graduate School; Tokushima Japan
| | - Yoshiaki Kubo
- Department of Dermatology; Institute of Health Biosciences; University of Tokushima Graduate School; Tokushima Japan
| |
Collapse
|