Human papillomavirus associated with Bowen's disease of the finger

Tomotaka Sato1, Arei Morimoto, Yasuo Ishida

  • 1Department of Dermatology, Teikyo University School of Medicine, Ichihara Hospital, Ichihara, Japan.

The Journal of Dermatology
|February 26, 2005
PubMed

Insights

A rare case of Bowen's disease on a fingernail was identified in a 55-year-old man. Human papillomavirus (HPV) types 11 and 16 were detected, suggesting a role in this skin cancer development.

Area of Science:

  • Dermatology
  • Oncology
  • Virology

Background:

  • Bowen's disease, an early form of squamous cell carcinoma in situ, typically affects sun-exposed skin.
  • Periungual lesions can present diagnostic challenges, sometimes mimicking benign conditions like warts.

Observation:

  • A 55-year-old Japanese male presented with a periungual lesion on his left ring finger.
  • Histological examination revealed features suggestive of both Bowen's disease and a common wart.

Findings:

  • Polymerase chain reaction (PCR) analysis detected DNA from human papillomavirus (HPV) types 11 and 16 within the lesion.
  • Sequencing confirmed the presence of these specific HPV types.

Implications:

  • This case highlights the potential association between HPV infection and the development of Bowen's disease in unusual locations like the periungual area.
  • The findings underscore the importance of considering HPV in the differential diagnosis of atypical skin lesions, particularly when standard histology is ambiguous.
  • Further research may elucidate the specific mechanisms by which HPV contributes to keratinocyte transformation in this context.

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