Ambooken Betsy, Asokan N, Philip Prizey, Jisha K T
Department of Dermatology & Venereology, Govt. Medical College, Thrissur, Kerala.
Int J STD AIDS. 2019 Apr;30(5):522-525. doi: 10.1177/0956462418813057. Epub 2019 Feb 4.
Bowenoid papulosis (BP) is a premalignant condition usually caused by oncogenic types of human papillomavirus (HPV) presenting clinically as warty genital papules. Adult T-cell leukaemia-lymphoma (ATLL) is a peripheral T-cell leukaemia-lymphoma caused by the retrovirus, human T-cell lymphotropic virus 1 (HTLV-1). We report a case of BP initially mistaken as genital warts; on detailed evaluation the patient had features of chronic immunosuppression. The presence of leukaemic cells in the peripheral blood, bone marrow and skin along with a positive HTLV-1 serology confirmed the diagnosis of ATLL.
