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Vulvar giant verrucous xanthoma associated with extensive limb involvement treated with bleomycin A5 hydrochloride

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Published: 24 February 2026
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Authors

Dear Editor,

Verruciform xanthoma (VX) is a rare benign hyperplastic disease frequently manifesting in the oral cavity, perineum, limbs, trunk, and occasionally the esophagus. The etiology of this condition remains elusive, possibly associated with severe skin trauma and chronic inflammation. Treatment includes surgery, imiquimod and tacrolimus application, cryotherapy, laser treatment, electroresection with snare, and oral administration of acitretin capsules. Notably, we have successfully treated VX in challenging anatomical regions using local injections of bleomycin (BLM) A5 hydrochloride, an approach that has not been previously reported. [...]

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Citations

1. Lin L, Duan N, Wang X, et al. Oral verrucous xanthoma in adolescents: a case report and literature review. J Prev Treat Stomatol Dis 2019;27:3.
2. Stiff KM, Cohen PR. Vegas (Verruciform Genital-Associated) Xanthoma: A Comprehensive Literature Review. Dermatol Ther (Heidelb) 2017;7:65-79.
3. Zak A, Zeman M, Slaby A, Vecka M. Xanthomas: clinical and pathophysiological relations. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014;158:181-8.
4. Gupta V, Khaitan BK, Patra S, Yadav R. Xanthoma disseminatum: improvement in disfiguring facial lesions with cladribine. J Eur Acad Dermatol Venereol 2016;30:e43-4.
5. Z Hang JH, Tang SQ. Treatment of hypopharyngeal or laryngeal hemangioma by injection of Pingyangmycin under a self-retaining laryngoscope and electronic laryngoscope. Chin J Otorhinolaryngol Skull Base Surg 2014;20:240-2.

Supporting Agencies

This work was supported by the Spreading Wings Program Research Fund of the First People’s Hospital of Changde City (Grant No. 2023ZC04), the Changde City Science and Technology Innovation Guidance Project (Grant No. 2023ZD34), the Changde City Science and Technology Plan Project (Grant No. 2019S201), and the Hunan Provincial Natural Science Foundation Regional Joint Fund (Grant No. 2024JJ7010).

How to Cite



1.
Wan M, Liu Z, You X, Long J, He P, Zhu J. Vulvar giant verrucous xanthoma associated with extensive limb involvement treated with bleomycin A5 hydrochloride. Dermatol Reports [Internet]. 2026 Feb. 24 [cited 2026 Jul. 26];. Available from: https://journals.pagepress.net/dr/article/view/10302