Treeman syndrome aka Barkman syndrome that’s EPIDERMODYSPLASIA VERRUCIFORMIS

It’s July 2010,in Indonesia village of Java,Dede Koswara examines limbs that are mutating ,his skin hands and feet are resembling tree roots and skin resembling tree bark.This has already cost him his marriage and work at a local construction firm.People stare and some conclude he is cursed.

He is suffering from a rare disorder,EPIDERMODYSPLASIA VERRUCIFORMIS.

This is a rare disorder caused by humanpapilloma virus,it further predisposes sufferers to more other types of humanpapilloma viruses and skin cancer,even though sufferer will still be immune to other infections.(Medscape;Healthline)

This is hereditary and requires 2 abnormal genes from both parents to develop and is called autosomal recessive inherited disorder

Symptoms appear from any age,most prevalence between the age of 5 to 11.The sufferer present with flat topped bumpy lesion,small raised bumps or papules,large patches of raised,inflamed skin or plaques and scabs.

The condition doesn’t have any cure,surgery is a temporary solution as the lesion grow again.Other treatments include chemical treatment like liquid nitrogen,salicylic acid ointment and cryotherapy (freezes warts)

The patient is advised to limit sun exposure as s/he is prone to skin cancer.

Author: Nurses eBulletin

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