Human papillomavirus type 27 associated with multiple verruca within a tattoo: report of a case and review of the literature

HPV-47-Induced and Tattoo-associated Verrucae Planae: Report of a Case and Review of the Literature

“…There seems to be a latency period between the act of tattooing and the onset of verrucae, which ranges from 2 months to more than 10 years in our case [ 20 – 31 ]. This delayed replication of the virus could be directly related to sun exposure, as it has been shown that UV exposure can induce a direct activation of closely related β1-HPV [ 38 , 39 ], and is believed to modulate specific and unspecific responses of the immunological system.…”

“…While research reports bacterial (e.g., mycobacteriosis), viral (e.g., HPV-induced) and mycotic (e.g., dermatophytosis) infections [ 6 , 15 – 19 ], an increasing number of cases with tattoo-associated HPV-induced verrucae can be found in the literature [ 20 – 30 ]. Lately, HPV 27 was identified on warts on tattoos [ 31 ].…”

“…Different treatment options (e.g., cryotherapy, curettage, podophyllotoxin or topical imiquimod) of viral warts on tattoos have been reported with mixed results [ 20 – 31 ]. In our case, we started a local off-label use therapy with Veregen ® 10% ointment (green tea leaf extract), having had good results in using it for treatment of genital warts.…”

Verruca localization predominately in black tattoo ink: a retrospective case series

“…[2][3][4] Because warts are ubiquitous, this phenomenon could be a pure coincidence. If this were the case, however, an equal distribution of warts overlying black ink, coloured ink and the surrounding normal skin would be expected.…”

The bumpy face of che guevara: An interesting case

“…[ 5 6 7 ] The available literature revealed a latency period ranging from 2 months to 10 years in case of warts developing over the tattoo area. [ 8 ] Acute sunburn was indicated as the precipitating factor in one case where lesions developed over a 2.5-years-old tattoo mark. While most of the case reports/studies have been focused on European patients, none of them has deciphered the actual cause of this prolonged latency.…”