# Nailbed HPV-related Bowen’s disease in a man living with HIV

## TL;DR

A man with HIV developed HPV-related skin cancer on his finger nailbed, highlighting the risk of non-genital HPV disease in HIV patients.

## Contribution

This case report adds evidence of extra-genital HPV disease in HIV patients, despite immune reconstitution.

## Key findings

- HPV-16 was detected in a nailbed Bowen’s disease lesion in an HIV-positive man.
- The patient had good virologic control and immune reconstitution.
- Surgical removal and post-exposure HPV vaccination were used for treatment.

## Abstract

Human papillomavirus (HPV) is a common sexually transmitted infection with wide-ranging clinical manifestations. High-risk anogenital HPV genotypes have also been reported to cause extragenital disease. We describe the case of a 69-year-old male patient living with HIV who was diagnosed with HPV-16 associated Bowen’s Disease (BD) of the right middle finger nailbed, despite good virologic control and immune reconstitution. The lesion was managed surgically with adjunctive post-exposure HPV vaccination. This case adds to the growing body of evidence of extra-genital HPV disease attributable to anogenital genotypes in people living with HIV.