Abstract Issue

Volume 13 Issue 5 (May) 2024

Original Articles

Case analysis of myrmecia wart manifestation on the ring finger
Darshit Kateshiya, Rushang Dave, Hiren Gajera, Vaishali Belani

Myrmecia, a specific type of deep palmar or plantar wart, is a clinical entity primarily caused by human papillomavirus type 1 (HPV1). These warts are characterized by their occurrence mostly in the deep layers of the epidermis and predominantly affect pressure points on the palms and soles. This report highlights a case of a palmoplantar wart, also known as a ‘Myrmecia wart,’ due to its unique clinical and histopathologic findings. Presenting in a 12-year-old male with a warty growth on the ring finger, this condition was initially misdiagnosed. Subsequent examination and biopsy revealed the characteristic histopathological features of Myrmecia, including deep epithelial invagination, prominent keratohyalin inclusions that appear basophilic, and large eosinophilic inclusion bodies indicative of HPV1 infection. These small, papular-to-plaque-like lesions grow rapidly and require careful differentiation from Verruca vulgaris and Molluscum contagiosum on microscopy. This case contributes to the limited literature on atypical presentations of Myrmecia warts and underscores the importance of recognizing this diagnosis in unusual locations, enhancing awareness among clinicians.

 
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