Solitary epidermolytic acanthoma

Journal of Cutaneous Pathology - Tập 40 Số 8 - Trang 701-707 - 2013
Viktoryia Kazlouskaya1, Jennifer Lambe1, Dirk M. Elston1
1Ackerman Academy of Dermatopathology New York NY USA

Tóm tắt

BackgroundSolitary epidermolytic acanthoma is thought to be an uncommon lesion. It can present as a solitary, localized or disseminated process that is unrelated to the genetic form of icthyosis.MethodsA retrospective review of solitary epidermolytic acanthomas was performed at the Ackerman Academy of Dermatopathology, NY, over a 2 year period. The clinical and histopathological features of solitary epidermolytic acanthomas were described in 64 biopsies from 60 individuals. In situ hybridization for human papillomavirus (HPV) was performed on all genital lesions.ResultsThe incidence of epidermolytic acanthomas in our series was higher than previously reported (27.8/100,000). Genital location was the most common and the incidence of genital lesions was 8/100,000. In situ hybridization showed no evidence of genital HPV types within the lesions. The histological features of solitary epidermolytic acanthoma were re‐evaluated.ConclusionsGenital skin was the most common location for solitary epidermolytic acanthoma, but we found no evidence to suggest a role for genital HPV types. A strong male predominance was noted, and the lesions demonstrate a wide range of clinical and pathological findings.

Từ khóa


Tài liệu tham khảo

Ackerman AB, 1974, Combined epidermolytic hyperkeratosis and focal acantholytic dyskeratosis, Arch Dermatol, 109, 385, 10.1001/archderm.1974.01630030043010

10.1016/j.jaad.2008.02.031

10.1097/00000372-199502000-00005

Shapiro L, 1970, Isolated epidermolytic acanthoma. A solitary tumor showing degeneration, Arch Dermatol, 101, 220, 10.1001/archderm.1970.04000020090014

10.1159/000250558

10.1111/j.1468-3083.2010.03736.x

10.1159/000249355

10.1111/j.1600-0560.1991.tb00135.x

10.1097/00004347-199704000-00013

10.1111/j.1365-2230.2004.01581.x

10.1159/000086447

10.1111/j.1346-8138.2005.tb00781.x

Proenca NG, 2006, Epidermolytic acanthoma of the scrotum, An Bras Dermatol, 5, 270

10.1111/j.1346-8138.2007.00267.x

Kukreja T, 2009, Multiple epidermolytic acanthomas must not be confused with genital human papillomavirus infection, Acta Derm Venereol, 89, 169, 10.2340/00015555-0607

Bogale SR, 2011, Epidermolytic acanthoma of the scrotum: a rare mimicker of condyloma acuminatum, Dermatol Online J, 17, 6, 10.5070/D349X5V25T

10.5021/ad.2011.23.3.415

Hirone T, 1973, Disseminated epidermolytic acanthoma. Nonsystemitized multiple verrucoid lesions showing granular degeneration, Acta Derm Venereol, 53, 393, 10.2340/0001555553393402

10.1007/s001050050653

10.1046/j.1365-2133.1999.03120.x

10.1097/00000372-199302000-00013

10.1111/j.1600-0560.2010.01555.x

10.1097/00000372-199706000-00006

Gaertner EM, 2011, Incidental cutaneous reaction patterns: epidermolytic hyperkeratosis, acantholytic dyskeratosis, and Hailey‐Hailey‐like acantholysis: a potential marker of premalignant skin change, J Skin Cancer, 645743