Isolated extragenital bowenoid papulosis of the neck

We report a case of extragenital bowenoid papulosis (BP) in a healthy immun ocompetent 42-year-old man. The lesions occurred on the anterolateral aspec ts of the neck and were not associated with genital, oral, or periungual le sions. Lesional skin tested positive with the Digene hybrid capture system cocktail assay that identifies infection with a mixture of high to intermed iate oncogenic human papillomavirus (HPV) types, including types 16, 18, 31 , 33, 35, 45, 51, 52, and 56. This cocktail assay identifies infection with HPV types typically associated with high-grade squamous intraepithelial le sions and invasive carcinoma. This case represents the sixth case of isolat ed cutaneous BP occurring a significant distance from the genital region.