gated clinicopathologically and immunohistochemically, and the total DNAs extracted from the skin were analyzed for the presence of HPV DNA using Southern 1 Department of Dermatology, Tokyo Women's blot hybridization and polymerase chain reaction (PCR) in combination with reMedical College, Tokyo, Japan.striction fragment length polymorphisms (RFLP) and direct sequencing analysis 2 Department of Pathology, National Institute of of the amplified products. In addition, the histologic localization of HPV DNA was Infectious Diseases, Tokyo, Japan.examined by in situ hybridization in paraffin embedded sections of HPV positive patients. 3 Department of Virology II, National Institute of Infectious Diseases, Tokyo, Japan.
RESULTS. In 8 of 12 BD lesions (66.7%), HPV types (HPV-16, -31, -54, -58, -61,-62, and -73) were detected by Southern blot hybridization and/or PCR with RFLP and direct sequencing analysis. In 6 of 7 HPV positive lesions examined (85.7%), the viral genomes were identified by in situ hybridization in the nuclei of keratinocytes in the upper stratum malpighii and/or stratum corneum.CONCLUSIONS. These results demonstrate that BD of the hands is frequently associated with HPV infection. The seven HPV genotypes are known as mucosal (genital) HPVs and to the authors' knowledge, this is the first time HPV-31, -54, -58, -61, -62, and -73 have been identified in BD lesions. These findings strongly suggest that HPVs related to mucosal lesions play an important role in the development of