Non-surgical Treatment of Verrucous Hyperplasia on Amputation Stump: A Case Report and Literature Review

Main Article Content

Sajeda Alnabelsi
Reem Hasan
Hussein Abdallah
Suzan Qattini

Abstract

Verrucous hyperplasia is a wart-like lesion that can develop on amputation stumps, often due to poor-fitting prostheses, venous stasis, friction, and bacterial infections. While surgical excision is sometimes necessary for intractable cases, many instances can be managed non-surgically.


We present the case of a 35-year-old male with a slowly growing verrucous plaque on his amputated stump that had caused repeated infections. His prosthesis was loose, allowing the stump to hang loosely inside the socket. After histological confirmation of verrucous hyperplasia, he was advised to change his prosthesis and use compression bandaging. Over 5 months, the lesion resolved without surgery. Early recognition and non-surgical management, including proper prosthetic fit, compression, and hygiene, can often successfully treat verrucous hyperplasia of amputation stumps. This avoids the need for excision in many cases. Patients and clinicians should be aware of this condition and the importance of prosthetic fit and limb care to prevent and treat it.

Article Details

Alnabelsi, S., Hasan, R., Abdallah, H., & Qattini, S. (2024). Non-surgical Treatment of Verrucous Hyperplasia on Amputation Stump: A Case Report and Literature Review. Annals of Dermatological Research, 8(1), 015–017. https://doi.org/10.29328/journal.adr.1001034
Case Presentations

Copyright (c) 2024 Alnabelsi S, et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Meulenbelt HE, Geertzen JH, Dijkstra PU, Jonkman MF. Skin problems in lower limb amputees: an overview by case reports. J Eur Acad Dermatol Venereol. 2007;21(2):147-55. Available from: https://doi.org/10.1111/j.1468-3083.2006.01936.x

Dudek NL, Marks MB, Marshall SC, Chardon JP. Dermatologic conditions associated with the use of a lower-extremity prosthesis. Arch Phys Med Rehabil. 2005;86(4):659-63. Available from: https://doi.org/10.1016/j.apmr.2004.09.003

DesGroseilliers JP, DesJardins JP, Germain JP, Krol AL. Dermatologic problems in amputees. Can Med Assoc J. 1978 Mar 4;118(5):535-7. Available from: https://pubmed.ncbi.nlm.nih.gov/630514/

George NM, George OT. Warty lesion over amputated stump. J Skin Stem Cell. 2021;8(2). Available from: https://brieflands.com/articles/jssc-119514

Bardazzi F, Guareschi E, Savoia F, Varotti E. Verrucous hyperplasia in an amputation stump. G Ital Dermatol Venereol. 2003;138:499-501. Available from: https://www.minervamedica.it/en/journals/Ital-J-Dermatol-Venereol/article.php?cod=R23Y2003N06A0499

Sharma P, Wadhwan V, Aggarwal P, Sharma A. Oral verrucous hyperplasia versus oral verrucous carcinoma: a clinicopathologic dilemma revisited using p53 as an immunohistochemical marker. J Oral Maxillofac Pathol. 2016 Sep-Dec;20(3):362-368. Available from: https://doi.org/10.4103/0973-029X.190902

Grover S, Jha M, Sharma B, Kapoor S, Mittal K, Parakkat NK, et al. Verrucous hyperplasia: case report and differential diagnosis. Sultan Qaboos Univ Med J. 2017 Feb;17(1). Available from: https://doi.org/10.18295/squmj.2016.17.01.017

Dhawan AK, Grover C, Bisherwal K, Arora VK, Tomar R. Verrucous hyperplasia of amputation stump. Indian J Dermatopathol Diagn Dermatol. 2015;2(1):23-24. Available from: https://journals.lww.com/ijdd/fulltext/2015/02010/verrucous_hyperplasia_of_amputation_stump.5.aspx

Kim CW, Yang SY, Hahm JE, Kim KS, Ha JW, Kim SS. A case of verrucous hyperplasia of amputation stump. Program Book. 2018;70(1):458-459.