Alenazi Abdullah A, Alraddadi Bushra, Alharbi Assaf G
Dermatology, Security Forces Hospital Program, Riyadh, SAU.
Dermatology, Ohud Hospital, Ministry of Health, Madina, SAU.
Cureus. 2024 Jul 24;16(7):e65249. doi: 10.7759/cureus.65249. eCollection 2024 Jul.
Epidermodysplasia verruciformis (EV) is a rare, lifelong, autosomal recessive genodermatosis characterized by susceptibility to certain human papillomavirus (HPV) types and increased risk of skin cancer. This report describes a 22-year-old male presenting with multiple flat erythematous papules on the trunk and extremities. Histopathological examination of a skin biopsy revealed features consistent with EV, including hypergranulosis, hyperkeratosis, and acanthosis, with notable keratohyalin granules and perinuclear vacuolization of keratinocytes. No mitotic activity or cellular atypia was observed. This case underscores the importance of early diagnosis and management of EV, which includes genetic counseling, photoprotection, and regular monitoring for premalignant lesions. Treatment options, ranging from pharmacologic interventions to surgical excision, aim to mitigate the risk of malignant transformation. This report highlights the clinical and histopathological presentation of EV, contributing to the understanding and management of this rare genodermatosis.
疣状表皮发育不良(EV)是一种罕见的、终身性的常染色体隐性遗传性皮肤病,其特征是对某些人乳头瘤病毒(HPV)类型易感且患皮肤癌的风险增加。本报告描述了一名22岁男性,其躯干和四肢出现多个扁平红斑丘疹。皮肤活检的组织病理学检查显示出与EV一致的特征,包括颗粒层增厚、角化过度和棘层肥厚,伴有明显的透明角质颗粒和角质形成细胞的核周空泡化。未观察到有丝分裂活性或细胞异型性。该病例强调了EV早期诊断和管理的重要性,其中包括遗传咨询、光防护以及对癌前病变的定期监测。治疗选择范围从药物干预到手术切除,旨在降低恶性转化的风险。本报告突出了EV的临床和组织病理学表现,有助于对这种罕见遗传性皮肤病的理解和管理。