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作 者:Ariana S Ginsberg Archeta Rajagopalan Joseph P Terlizzi
机构地区:[1]Department of Colon and Rectal Surgery,Laser Surgery Care,New York,NY 10011,United States [2]Department of Surgery,Icahn School of Medicine at Mount Sinai,New York,NY 10029,United States
出 处:《World Journal of Clinical Cases》2020年第18期4094-4099,共6页世界临床病例杂志
摘 要:BACKGROUND Epidermolytic acanthoma(EA)is a rare benign skin lesion,usually found in the genital area of men and women,with epidermolytic hyperkeratosis as its distinguishing histologic characteristic.It is commonly misdiagnosed as condyloma accuminatum,verruca,and seborrheic keratosis.Since this lesion is benign,treatment is not necessary.However,it is often misdiagnosed,and patients are likely to undergo incorrect counseling and unnecessary treatment,causing undue burden to the patient.This study seeks to increase awareness of this rare condition to prevent future misdiagnoses.CASE SUMMARY A 55-year-old man living with human immunodeficiency virus presented for anal cancer screening.His physical examination revealed a flesh colored papule at the anal margin.The initial differential diagnosis included molluscum contagiosum,anal condyloma,and basal cell carcinoma.The lesion was excised to obtain a definitive diagnosis and was discovered to be EA.CONCLUSION EA is often misdiagnosed due to its similarity to other dermatologic conditions.Careful examination and pathologic evaluation should be obtained to ensure proper diagnosis.
关 键 词:Epidermolytic acanthoma Epidermolytic hyperkeratosis Condyloma accuminatum Anal cancer Verruca Case report
分 类 号:R751[医药卫生—皮肤病学与性病学]
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