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Dermatology · Viral infections: epidermodysplasia verruciformis
Sample itemA patient with an autosomal recessive mutation in EVER1/EVER2 has widespread flat warts and pityriasis versicolor-like plaques, with squamous carcinomas on sun-exposed skin. Which HPV types are mainly responsible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. HPV 5 and 8
Epidermodysplasia verruciformis is an inherited susceptibility to beta-papillomaviruses, especially types 5 and 8. Sun exposure promotes malignant transformation to squamous cell carcinoma.
Option by option
A. HPV 6 and 11
Types 6 and 11 cause genital warts.
B. HPV 1 and 4
Types 1 and 4 cause plantar warts.
C. HPV 5 and 8 (correct)
Correct. Types 5 and 8 are the oncogenic EV types.
D. HPV 16 and 18
Types 16 and 18 cause anogenital cancers.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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