HPV AND BUSCHKE-LOWENSTEIN DISEASE

摘要

INTRODUCTION. HUMAN PAPILLOMAVIRUS (HPV) IS A VIRAL INFECTION WHICH GENERATES EPITHELIAL TUMOURS OF THE MUCOUS MEMBRANES AND SKIN ESPECIALLY WARTS. THE DIMENSIONS OF THE WARTS COULD VARY AMONG INDIVIDUALS FROM A FEW MILLIMETRES TO A CONSIDERABLE SIZE BEING CALLED GIANT CONDYLOMA ACUMINATUM (GCA). THIS GIANT CONDYLOMA ACUMINATUM WAS FIRST DESCRIBED BY BUSCHKE AND L?WENSTEIN IN 1925 ON PENILE FORESKIN, NOWADAYS KNOWN AS BUSCHKE – LOWENSTEIN TUMOUR (BLT). MATERIAL AND METHODS. THE PURPOSE OF THIS PAPER IS TO REVIEW THE AVAILABLE DATA REGARDING THE ETIOPATHOGENY OF BLT DIAGNOSIS AND NEW LINES OF TREATMENT. WE USED PUBMED AND SCOPUS DATABASES FOR REVIEWS AND FULL ARTICLES. CONCLUSIONS. BUSCHKE – LOWENSTEIN IS A RARE DISEASE CAUSED BY INFECTION WITH HPV, ESPECIALLY ASSOCIATED WITH ”SEMI – MALIGNANT ” VERRUCOUS CARCINOMA OR SQUAMOUS CELL CARCINOMA. COINFECTION WITH HIV ENHANCE THE ONCOGENIC ABILITY OF HPV, BUT THE ONCOGENIC PROCESS IS SLOW, SO AN EARLY REMOVAL OF THE LESION WHEN NOTICED BY THE PATIENT IS USEFUL TO PREVENT A GCA. PRE-EXPOSURE AND POST-EXPOSURE VACCINES ARE VERY IMPORTANT IN PREVENTING BLT AND REDUCING THE VIRAL LOAD IN THE INFECTED.