Focal epithelial hyperplasia (FEH) is a human papillomavirus (HPV)-induced alteration of the oral mucosa that presents with a clinically distinct appearance. While other HPV-infected lesions such as squamous papilloma, verruca vulgaris, and condyloma acuminatum involve the skin, oral mucosa, and genital mucosa, FEH occurs only in the oral mucosa. The affected oral mucosa exhibits multiple papules and nodules with each papule/nodule being flat-topped or sessile. The affected region resembles the normal color of oral mucosa rather than appearing as a white color since the epithelial surface is not hyperkeratinized. Almost all cases present with multiple sites of occurrence. This rare, benign epithelial proliferation is related to low-risk HPV, especially HPV-13 and -32, and is not transformed into carcinoma. We report a case of FEH that arose on the attached gingiva of an East Asian male adult related to prosthesis without detection of any HPV subtype in HPV DNA chip and sequencing.
Adult ; Asian Continental Ancestry Group ; Dental Prosthesis* ; Focal Epithelial Hyperplasia* ; Gingiva ; Humans ; Male ; Mouth Mucosa ; Mucous Membrane ; Oligonucleotide Array Sequence Analysis ; Papilloma ; Prostheses and Implants ; Skin ; Warts

OBJECTIVETo investigate the presence of HPV infection of oral mucosa proliferative lesions in children and determine the associations of HPV types with oral mucosa lesions in children.

METHODSImmunohistochemical method and in situ hybridization techniques were applied to detect human papillomavirus (HPV) infection in biopsies taken from clinical lesions in oral mucosa of 30 children.

RESULTSThe most frequent lesions detected were SCP (66.7%), followed by CA and FEH. The HPV viral antigen was present in 73.3% (22/30) of the oral benign epithelial proliferative lesions in children. A high frequency HPV was found in CA (6/6) and SCP (15/20) by means of IHC. In the ISH positive case, high risk HPV 16/18 was observed in 77.3% (17/22).

CONCLUSIONThis study demonstrates a high prevalence of HPV infection in children's oral mucosa proliferative lesions, and high-risk HPV16/18 are predominant in children's oral mucosa proliferative lesions.

Adolescent ; Child ; Child, Preschool ; Condylomata Acuminata ; virology ; DNA, Viral ; analysis ; Female ; Focal Epithelial Hyperplasia ; virology ; Humans ; Immunohistochemistry ; Infant ; Male ; Mouth Mucosa ; virology ; Papilloma ; virology ; Papillomaviridae ; isolation & purification