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Epidermodysplasia Verruciformis
By: Ashish Kumar
INVESTIGATORY PROJECT
WORK
(BIOLOGY)
*ACKNOWLEDGEMENT
*
CERTIFICATE
CONTENTS
*Scientific Description
*Epidermodysplasia Verruciformis, or EV, (colloquially known as
tree man illness) is a rare skin disorder that exposes patients to
the human papillomavirus (HPV) and cutaneous squamous cell
carcinomas. The disease is linked to chronic infection of HPV.
Skin eruptions of flat-to-papillomatous, wartlike lesions and
reddish-brown pigmented plaques on the trunk, the hands, the
upper and lower extremities, and the face. Malignant skin
tumors (carcinomas), usually squamous cell carcinoma, develop
on the patient with this disease.
*This disease causes warts and horns to
form on the hands, feet, and face.
They form due to exposure to the
human papillomavirus.(HPV)
*Symptoms
*Thick visible warts all over the body
as well as on the inside of the skin.
*Flattened warty skin lesions.
*The skin becomes thick and
hardened and as old skin dies new
skin is created.
*Increased vulnerability to human
papillomaviruses of the skin.
*The hands and feet, the
extremities, are enlarged and it is
difficult to use them.
*Skin looks like tree bark or
tree roots, hence the name Tree-
Man Disease.
*Causes
*Doctors have linked genetics to Epidermodysplasia
Verruciformis. Although this disease is rare, doctors say the
person inherits the disease from their parents or it “runs” in
the family. Another major cause of this disease is a horrible
immune system. This disease is found in countries that don’t
have the best of medical care.
*Is It Contagious?
*It is important to understand that though images are quite
shocking, but the disease is not contagious. Doctors check
these people and their warts without an issue, and they have
already confirmed that no one can get infected just by
touching the person who has it.
Mutation is the process by which an organism’s DNA sequence is altered. In the
case of the sufferers of Tree Man Syndrome, mutation occurs in their EVER1 and
EVER2 genes on chromosome 17 which are responsible for regulating the
circulation of Zinc in the nucleus of cells. These genes prevent the entree of
viral proteins to cellular zinc stores resulting to their restricted growth. These
zinc stores are needed for the body’s immune system to function properly.
Hence, those affected by the ailment lack the ability to protect themselves from
certain bacteria or viruses which, in the case of tree man syndrome, are Human
Papillomavirus
*Cure for EV
*There is no cure for Epidermodysplasia Verruciformis however
the warts can be surgically removed, but they do grow back.
*Try chemotherapy and other drugs prescribed by a doctor
*one case was treated with a combination of acitretin and
interferon alfa-2a.
*Direct radiation therapy to control the growth has led to
cancer in one patient.
*Scientists and doctors such as Dr. Anthony Gaspari, an
American dermatologist from the University of Maryland, are
currently studying three cases of Tree-Man Disease in the hope
of finding a genetic link that will lead to a cure of this disease.
*Worst Case Scenario
*The worst case scenario
for EV is that you are
not able to use your
hands or feet.
Depending on how bad
the case is the hands
and feet can become
very heavy and
uncomfortable due to
the warts. In Treeman’s
case, he will need two
surgeries every year to
keep them from growing
big again.
Before Surgery After Surgery
*FACTS
*It is one of the rarest genetic disease on earth.
*This disease can be linked to the mapping of chromosome 17.
*EV is usually diagnosed when the patient is between the
ages of 1 and 20.
*EV is more commonly found in countries with little medical
treatment available.
*This disease is not contagious means that this disease do not
spread simply by touching.
*It can be caused by a common sexually transmitted wart virus
infection.
*
*http://emedicine.medscape.com/article/1131981-
overview
*http://www.rightdiagnosis.com/medical/epidermodyspl
asia_verruciformis.htm
*http://www.ncbi.nlm.nih.gov/pubmed/11464195
*Information was also pulled from the documentary
Tree-man: Search for the Cure that I found on youtube

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Tree-man disease (Epidermodysplasia Verruciformis)

  • 6. *Scientific Description *Epidermodysplasia Verruciformis, or EV, (colloquially known as tree man illness) is a rare skin disorder that exposes patients to the human papillomavirus (HPV) and cutaneous squamous cell carcinomas. The disease is linked to chronic infection of HPV. Skin eruptions of flat-to-papillomatous, wartlike lesions and reddish-brown pigmented plaques on the trunk, the hands, the upper and lower extremities, and the face. Malignant skin tumors (carcinomas), usually squamous cell carcinoma, develop on the patient with this disease. *This disease causes warts and horns to form on the hands, feet, and face. They form due to exposure to the human papillomavirus.(HPV)
  • 7. *Symptoms *Thick visible warts all over the body as well as on the inside of the skin. *Flattened warty skin lesions. *The skin becomes thick and hardened and as old skin dies new skin is created. *Increased vulnerability to human papillomaviruses of the skin. *The hands and feet, the extremities, are enlarged and it is difficult to use them. *Skin looks like tree bark or tree roots, hence the name Tree- Man Disease.
  • 8. *Causes *Doctors have linked genetics to Epidermodysplasia Verruciformis. Although this disease is rare, doctors say the person inherits the disease from their parents or it “runs” in the family. Another major cause of this disease is a horrible immune system. This disease is found in countries that don’t have the best of medical care. *Is It Contagious? *It is important to understand that though images are quite shocking, but the disease is not contagious. Doctors check these people and their warts without an issue, and they have already confirmed that no one can get infected just by touching the person who has it.
  • 9. Mutation is the process by which an organism’s DNA sequence is altered. In the case of the sufferers of Tree Man Syndrome, mutation occurs in their EVER1 and EVER2 genes on chromosome 17 which are responsible for regulating the circulation of Zinc in the nucleus of cells. These genes prevent the entree of viral proteins to cellular zinc stores resulting to their restricted growth. These zinc stores are needed for the body’s immune system to function properly. Hence, those affected by the ailment lack the ability to protect themselves from certain bacteria or viruses which, in the case of tree man syndrome, are Human Papillomavirus
  • 10. *Cure for EV *There is no cure for Epidermodysplasia Verruciformis however the warts can be surgically removed, but they do grow back. *Try chemotherapy and other drugs prescribed by a doctor *one case was treated with a combination of acitretin and interferon alfa-2a. *Direct radiation therapy to control the growth has led to cancer in one patient. *Scientists and doctors such as Dr. Anthony Gaspari, an American dermatologist from the University of Maryland, are currently studying three cases of Tree-Man Disease in the hope of finding a genetic link that will lead to a cure of this disease.
  • 11. *Worst Case Scenario *The worst case scenario for EV is that you are not able to use your hands or feet. Depending on how bad the case is the hands and feet can become very heavy and uncomfortable due to the warts. In Treeman’s case, he will need two surgeries every year to keep them from growing big again. Before Surgery After Surgery
  • 12. *FACTS *It is one of the rarest genetic disease on earth. *This disease can be linked to the mapping of chromosome 17. *EV is usually diagnosed when the patient is between the ages of 1 and 20. *EV is more commonly found in countries with little medical treatment available. *This disease is not contagious means that this disease do not spread simply by touching. *It can be caused by a common sexually transmitted wart virus infection.