Vulvar Localisation of Epidermolytic Acanthoma

Coninck, A. De; Willemsen, M; Dobbeleer, Gilbert De; Roseeuw, Diane

doi:10.1159/000249355

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Cited by 13 publications

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“…Predilection for the genitoscrotal area with multiple epidermolytic acanthomas has been increasingly recognized in the li-terature (Table I) (1)(2)(3)(8)(9)(10)(11). Two reports in the vulvar area occurring secondarily to long periods of pruritus and scratching have also been described (12,13).…”

Section: Discussionmentioning

confidence: 99%

Multiple Epidermolytic Acanthomas Must Not be Confused with Genital Human Papillomavirus Infection

Kukreja¹,

Krunic²

2009

Acta Derm Venereol

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We describe two patients with multiple epidermolytic acanthomas on the scrotum initially referred to our clinic as genital warts. Both patients presented with multiple tan-colored warty papules scattered on the scrotal skin. Biopsy revealed hyperkeratosis, hypergranulosis, and clear cell changes consistent with epidermolytic acan thoma. Human papillomavirus was not detected and the lesions cleared rapidly with a liquid nitrogen cryoprobe. Despite only a few reports of multiple epidermolytic acan thomas of the scrotum, it may not be as rare as previously thought. In addition, genital localization of the wart-like lesions may lead to confusion with other conditions such as condylomata acuminata, molluscum contagiosum, or bowenoid papulosis.

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