Isolated human papillomavirus 18-positive extragenital bowenoid papulosis and idiopathic CD4+ lymphocytopenia.
We report a case of isolated extragenital bowenoid papulosis (BP) in a young man with an idiopathic low CD4 count. The lesions occurred on the dorsal aspect of his left middle finger and were not associated with genital involvement. Polymerase chain reaction studies of a biopsy demonstrated human papillomavirus 18. As far as we are aware, this is the first documented case of BP (genital or extragenital) associated with idiopathic CD4 lymphocytopenia.
Purnell
D
D
Department of Pathology, Walsgrave Hospitals NHS Trust, Coventry CV2 2DX, U.K.
Ilchyshyn
A
A
Jenkins
D
D
Salim
A
A
Seth
R
R
Snead
D
D
D000328:Adult; D001913:Bowen's Disease / Q000821:virology*; D018791:CD4 Lymphocyte Count; D005385:Fingers; D006801:Humans; D008231:Lymphopenia / Q000276:immunology / Q000821:virology*; D008297:Male; D027383:Papillomaviridae / Q000145:classification / Q000302:isolation & purification*; D012878:Skin Neoplasms / Q000821:virology*