Adolescent Onset of Localized Papillomatosis, Lymphedema, and Multiple Beta-Papillomavirus Infection: Epidermal Nevus, Segmental Lymphedema Praecox, or Verrucosis? A Case Report and Case Series of Epidermal Nevi
Identifieur interne : 002D82 ( Main/Exploration ); précédent : 002D81; suivant : 002D83Adolescent Onset of Localized Papillomatosis, Lymphedema, and Multiple Beta-Papillomavirus Infection: Epidermal Nevus, Segmental Lymphedema Praecox, or Verrucosis? A Case Report and Case Series of Epidermal Nevi
Auteurs : Pooja Kadam [États-Unis] ; Janne Rand [États-Unis] ; Peter Rady [États-Unis] ; Stephen Tyring [États-Unis] ; Jan Stehlik [République tchèque] ; Monica Sedivcova [République tchèque] ; Dmitry V. Kazakov [République tchèque] ; Kathy Ray [États-Unis] ; Jerome Hill [États-Unis] ; Richard Agag [États-Unis] ; J. Andrew Carlson [États-Unis]Source :
- Dermatopathology [ 2296-3529 ] ; 2014.
Abstract
Herein, we report the case of a 12-year-old female who noted the recent onset of an oval, circumscribed, 10-cm papillomatous plaque affecting the thigh and vulva that showed histologic signs of lymphedema without evidence of secondary lymphedema. The sequencing of genes associated with a delayed onset of lymphedema or epidermal nevi (EN) –
Url:
DOI: 10.1159/000367967
PubMed: 27047923
PubMed Central: 4772932
Affiliations:
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A Case Report and Case Series of Epidermal Nevi</title><author><name sortKey="Kadam, Pooja" sort="Kadam, Pooja" uniqKey="Kadam P" first="Pooja" last="Kadam">Pooja Kadam</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Pathology, Albany Medical College, Albany, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Albany Medical College, Albany, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author><author><name sortKey="Rand, Janne" sort="Rand, Janne" uniqKey="Rand J" first="Janne" last="Rand">Janne Rand</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Pathology, Albany Medical College, Albany, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Albany Medical College, Albany, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author><author><name sortKey="Rady, Peter" sort="Rady, Peter" uniqKey="Rady P" first="Peter" last="Rady">Peter Rady</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Dermatology, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation></author><author><name sortKey="Tyring, Stephen" sort="Tyring, Stephen" uniqKey="Tyring S" first="Stephen" last="Tyring">Stephen Tyring</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Dermatology, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation></author><author><name sortKey="Stehlik, Jan" sort="Stehlik, Jan" uniqKey="Stehlik J" first="Jan" last="Stehlik">Jan Stehlik</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen</wicri:regionArea><wicri:noRegion>Pilsen</wicri:noRegion></affiliation></author><author><name sortKey="Sedivcova, Monica" sort="Sedivcova, Monica" uniqKey="Sedivcova M" first="Monica" last="Sedivcova">Monica Sedivcova</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen</wicri:regionArea><wicri:noRegion>Pilsen</wicri:noRegion></affiliation></author><author><name sortKey="Kazakov, Dmitry V" sort="Kazakov, Dmitry V" uniqKey="Kazakov D" first="Dmitry V." last="Kazakov">Dmitry V. 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A Case Report and Case Series of Epidermal Nevi</title><author><name sortKey="Kadam, Pooja" sort="Kadam, Pooja" uniqKey="Kadam P" first="Pooja" last="Kadam">Pooja Kadam</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Pathology, Albany Medical College, Albany, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Albany Medical College, Albany, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author><author><name sortKey="Rand, Janne" sort="Rand, Janne" uniqKey="Rand J" first="Janne" last="Rand">Janne Rand</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Pathology, Albany Medical College, Albany, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Albany Medical College, Albany, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author><author><name sortKey="Rady, Peter" sort="Rady, Peter" uniqKey="Rady P" first="Peter" last="Rady">Peter Rady</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Dermatology, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation></author><author><name sortKey="Tyring, Stephen" sort="Tyring, Stephen" uniqKey="Tyring S" first="Stephen" last="Tyring">Stephen Tyring</name><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Dermatology, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Dermatology, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Microbiology/Medical Genetics, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff5">Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Internal Medicine, University of Texas Health Science Center, Houston, Tex.</wicri:regionArea><wicri:noRegion>Tex.</wicri:noRegion></affiliation></author><author><name sortKey="Stehlik, Jan" sort="Stehlik, Jan" uniqKey="Stehlik J" first="Jan" last="Stehlik">Jan Stehlik</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen</wicri:regionArea><wicri:noRegion>Pilsen</wicri:noRegion></affiliation></author><author><name sortKey="Sedivcova, Monica" sort="Sedivcova, Monica" uniqKey="Sedivcova M" first="Monica" last="Sedivcova">Monica Sedivcova</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen</wicri:regionArea><wicri:noRegion>Pilsen</wicri:noRegion></affiliation></author><author><name sortKey="Kazakov, Dmitry V" sort="Kazakov, Dmitry V" uniqKey="Kazakov D" first="Dmitry V." last="Kazakov">Dmitry V. Kazakov</name><affiliation wicri:level="1"><nlm:aff id="aff7">Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen, Czech Republic</nlm:aff><country xml:lang="fr">République tchèque</country><wicri:regionArea>Department of Pathology, Medical Faculty in Pilsen, Charles University, Pilsen</wicri:regionArea><wicri:noRegion>Pilsen</wicri:noRegion></affiliation></author><author><name sortKey="Ray, Kathy" sort="Ray, Kathy" uniqKey="Ray K" first="Kathy" last="Ray">Kathy Ray</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Capital District Dermatology, Glenmont, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Capital District Dermatology, Glenmont, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author><author><name sortKey="Hill, Jerome" sort="Hill, Jerome" uniqKey="Hill J" first="Jerome" last="Hill">Jerome Hill</name><affiliation wicri:level="1"><nlm:aff id="aff6">Department of Capital District Dermatology, Glenmont, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Capital District Dermatology, Glenmont, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author><author><name sortKey="Agag, Richard" sort="Agag, Richard" uniqKey="Agag R" first="Richard" last="Agag">Richard Agag</name><affiliation wicri:level="1"><nlm:aff id="aff2">Department of Plastic Surgery, Albany Medical College, Albany, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Plastic Surgery, Albany Medical College, Albany, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author><author><name sortKey="Carlson, J Andrew" sort="Carlson, J Andrew" uniqKey="Carlson J" first="J. Andrew" last="Carlson">J. Andrew Carlson</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Pathology, Albany Medical College, Albany, N.Y., USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pathology, Albany Medical College, Albany, N.Y.</wicri:regionArea><wicri:noRegion>N.Y.</wicri:noRegion></affiliation></author></analytic><series><title level="j">Dermatopathology</title><idno type="eISSN">2296-3529</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Herein, we report the case of a 12-year-old female who noted the recent onset of an oval, circumscribed, 10-cm papillomatous plaque affecting the thigh and vulva that showed histologic signs of lymphedema without evidence of secondary lymphedema. The sequencing of genes associated with a delayed onset of lymphedema or epidermal nevi (EN) – <italic>GATA2</italic> and <italic>GJC2</italic>, and <italic>HRAS</italic> and <italic>KRAS</italic>, respectively – showed wild-type alleles. Polymerase chain reaction for human papillomavirus (HPV) DNA demonstrated infections with 15 HPV genotypes. Evidence of productive HPV infection, HPV capsid expression, and cytopathic changes was detected. At the 6-month follow-up, no evidence of recurrence was found after complete excision. The analysis of a consecutive series of 91 EN excision specimens revealed that 76% exhibited histologic evidence of lymphostasis. Notably, multiple acrochordon-like EN, which most closely resembled this case, showed similar signs of localized lymphedema. The late onset and evidence of lymphedema favors the diagnosis of congenital unisegmental lymphedema. However, the clinical findings and epidermal changes point to the diagnosis of EN. Moreover, localized verrucosis also accurately describes this patient's cutaneous findings. Based on the above evidence, we postulate that an abnormal development of lymphatics may play a primary role in the pathogenesis of some types of EN and facilitate productive HPV infection.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Meisels, A" uniqKey="Meisels A">A Meisels</name></author><author><name sortKey="Fortin, R" uniqKey="Fortin R">R Fortin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Corbalan Velez, R" uniqKey="Corbalan Velez R">R Corbalan-Velez</name></author><author><name sortKey="Ruiz Macia, Ja" uniqKey="Ruiz Macia J">JA Ruiz-Macia</name></author><author><name sortKey="Brufau, C" uniqKey="Brufau C">C Brufau</name></author><author><name sortKey="Lopez Lozano, Jm" uniqKey="Lopez Lozano J">JM Lopez-Lozano</name></author><author><name sortKey="Martinez Barba, E" uniqKey="Martinez Barba E">E Martinez-Barba</name></author><author><name sortKey="Martinez Escribano, J" 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Andrew" last="Carlson">J. Andrew Carlson</name><name sortKey="Hill, Jerome" sort="Hill, Jerome" uniqKey="Hill J" first="Jerome" last="Hill">Jerome Hill</name><name sortKey="Rady, Peter" sort="Rady, Peter" uniqKey="Rady P" first="Peter" last="Rady">Peter Rady</name><name sortKey="Rady, Peter" sort="Rady, Peter" uniqKey="Rady P" first="Peter" last="Rady">Peter Rady</name><name sortKey="Rady, Peter" sort="Rady, Peter" uniqKey="Rady P" first="Peter" last="Rady">Peter Rady</name><name sortKey="Rand, Janne" sort="Rand, Janne" uniqKey="Rand J" first="Janne" last="Rand">Janne Rand</name><name sortKey="Ray, Kathy" sort="Ray, Kathy" uniqKey="Ray K" first="Kathy" last="Ray">Kathy Ray</name><name sortKey="Tyring, Stephen" sort="Tyring, Stephen" uniqKey="Tyring S" first="Stephen" last="Tyring">Stephen Tyring</name><name sortKey="Tyring, Stephen" sort="Tyring, Stephen" uniqKey="Tyring S" first="Stephen" last="Tyring">Stephen Tyring</name><name sortKey="Tyring, Stephen" sort="Tyring, Stephen" uniqKey="Tyring S" first="Stephen" last="Tyring">Stephen Tyring</name></country><country name="République tchèque"><noRegion><name sortKey="Stehlik, Jan" sort="Stehlik, Jan" uniqKey="Stehlik J" first="Jan" last="Stehlik">Jan Stehlik</name></noRegion><name sortKey="Kazakov, Dmitry V" sort="Kazakov, Dmitry V" uniqKey="Kazakov D" first="Dmitry V." last="Kazakov">Dmitry V. Kazakov</name><name sortKey="Sedivcova, Monica" sort="Sedivcova, Monica" uniqKey="Sedivcova M" first="Monica" last="Sedivcova">Monica Sedivcova</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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