Laryngeal Verruca Vulgaris Presenting with Dysphonia: A Case Report

Abstract

Verruca vulgaris is a common skin lesion that is associated with human papilloma virus and is observed on the surface of skin. Verruca vulgaris is rarely seen in mucosal membranes. Atypical locations may be confused with verrucous carcinoma. The incidence of laryngeal verruca vulgaris has not yet been reported in the literature. Differential diagnoses in histopathological examinations include keratosis, squamous papilloma, verrucous hyperplasia, and verrucous carcinoma. Distinguishing disease from verrucous carcinoma is particularly important because the treatment approach can be altered. In this report, we present a rare case of laryngeal verruca vulgaris that was diagnosed on the basis of histopathological features.

Retroviral Disease and Smoking – A Sinister Combination causing Hyperkeratotic Laryngeal Papilloma

“…Hyperkeratotic papilloma is differentiated from the most common type verruca vulgaris on histopathological examination where the later shows presence of atypia and koilocytosis in the spinous layer. 10 This case also emphasizes on the differential diagnosis of laryngeal papillomatous lesion and the effect of chronic exposure to smoke in an immunosuppressed individuals…”

“…Histopathological examination showed hyperkeratosis, hypergranulosis, koilocytes in the spinous layer confirming the diagnosis of Verruca vulgaris. 10 Keisuke et al reported a case of vocal cord actinomycosis where a 49 year old male patient presented with voice change since 2 years and has an irregular lesion over vocal cord which mimicked a laryngeal papilloma or tumor. Histopathological examination showed actinomycosis with vocal nodule which was treated with appropriate antibiotics.…”