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Multifocal papilloma virus epithelial hyperplasia

R Carlos1, H O Sedano

  • 1Dental School Francisco Marroquin University, Guatemala City, Guatemala.

Oral Surgery, Oral Medicine, and Oral Pathology
|June 1, 1994
PubMed
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Multifocal papilloma virus epithelial hyperplasia, a common oral infection in Guatemalan children, is linked to poverty. This study proposes renaming it to accurately reflect its multifocal nature.

Area of Science:

  • Oral Medicine
  • Dermatology
  • Virology

Background:

  • Multifocal papilloma virus epithelial hyperplasia (MPVEH) is an oral mucosa infection caused by human papillomavirus (HPV) types 13 and 32.
  • It characteristically affects the lips, lateral tongue borders, and buccal mucosa, sparing other oral sites.

Purpose of the Study:

  • To describe the clinical and epidemiological features of MPVEH in a Guatemalan population.
  • To propose a standardized nomenclature for the condition, advocating for the abandonment of the eponym Heck's disease.

Main Methods:

  • Retrospective analysis of 110 patients diagnosed with MPVEH over three years in Guatemala City and surrounding rural areas.
  • Clinical data collection including patient demographics, affected sites, and socioeconomic status.

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  • Histopathological examination of 60 lesions to assess epithelial changes.

    • Main Results:

    • The study identified 110 cases, predominantly in patients under 18 years old, with familial clustering observed.
    • Extreme poverty was a significant factor, with 107 out of 110 cases occurring in families with annual incomes below $1,200 USD.
    • Biopsies revealed acanthosis and nuclear degeneration within the epithelium.

    Conclusions:

    • MPVEH is prevalent in impoverished pediatric populations in Guatemala.
    • The term multifocal papilloma virus epithelial hyperplasia is recommended for its descriptive accuracy.
    • The historical context supports abandoning the eponym Heck's disease in favor of the proposed terminology.