Epidermodysplasia Verruciformis in a young man with HIV since birth -\nCase report
22-year-old male reporting non-pruriginous lesions which appeared in the pre-adolescent\nperiod, initially on the neck, with later dissemination. He denied relatives with a\nsimilar condition and consanguinity between his parents. HIV was present since birth,\nand the patient was under non-regular treatment with antiretroviral drugs.\nDermatological examination showed isolated flat and some confluent, erythematous\npapulae, discreetly desquamative on the neck, trunk, and limbs. (-)\nLaboratory examinations showed positive anti-HIV, CD4: 84; Viral Load: 4.188.\nThe histopathological examination revealed wide grayish-blue keratinocytes with pyknotic\nnucleus on the upper third of the epiderm. These findings were compatible with EV.\n( and )\nThe in situ hybridization was negative to the\n6-1116-18-31-33-35-39-45-51-52-56-58-59-68 HPVs. These were not present in the EV, thus\nallowing an accurate diagnosis to be made.\nTreatment with oral acitretine was proposed but the patient missed follow-up at our\ndermatology clinic.