August 18, 2022

A Malaysian lady developed ‘ram’s horns’ on one among her breasts after an ‘extraordinarily uncommon’ case of viral warts.

The 63-year-old, who wasn’t recognized, informed docs the growths had spontaneously appeared on the left aspect of her chest two years in the past.

By the point she went to hospital that they had grown to round 5cm (2inch) in size and had turn into itchy

The lady was informed she had cutaneous horns (CH), which happen because of a build-up of keratin, a protein in hair, pores and skin and nails.

Docs imagine the horns fashioned as the results of a pores and skin an infection after exams dominated out most cancers. However exactly how is ‘nonetheless a thriller’. 

Docs on the Hospital Queen Elizabeth 2 in Kota Kinabalu surgically eliminated the horns and the affected person made a full restoration.

The story was revealed in a case report printed within the journal the Annals of Medication and Surgical procedure. 

A Malaysian lady developed ‘ram’s horns’ on her left breast after a uncommon case of viral warts

Writing within the report, the medics mentioned: ‘Cutaneous horns normally seem as elongated projections starting from a few millimetres to centimetres. 

‘It may be described as a ram’s horn. It progressively grows through the years.’

The Malaysian lady went to hospital complaining of the horn-like growths that brought about her ‘on and off itchiness’.  

Scans revealed the plenty had fashioned on the floor of the pores and skin and had not unfold to the breast tissue itself.

There have been no indicators of irritation or soreness, which gave the medics confidence it was not cancerous. 

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Docs carried out a bedside excision to take away the horns and despatched off samples to be examined for the illness — which got here again destructive.

The affected person didn’t have warts on another a part of her physique and was not affected by different pores and skin situations. 

Writing in her case report, printed on April 8, the medics mentioned: ‘As of this writing she is in good well being and exhibits no indicators of recurrence.’

‘Her scar from the biopsy is properly healed and doesn’t present any indicators of recurrence after observe up for six months.’     

The prevalence of cutaneous horns just isn’t identified however the medics described them as ‘extraordinarily uncommon’.

Causes will not be clear however scientists have beforehand discovered hyperlinks to radiation and UV publicity.

Analysis suggests the commonest trigger is actinic keratosis, which happens because of overexposure to UV radiation.

However the newest case was judged to have been attributable to verrucae vulgaris, viral warts attributable to human papillomaviruses (HPV).

The usually innocent viruses can enter the pores and skin and trigger a pores and skin an infection that varieties warts. 

The commonest location for cutaneous horns are the scalp and higher face, or different areas most uncovered to the solar such because the chest, shoulder and neck.

Nonetheless, they’ve been discovered all around the physique, together with on the penis. 


Cutaneous horns (CH) happen because of a build-up of keratin, the identical protein that varieties hair, pores and skin and nails.

CHs’ prevalence is unknown, nonetheless, they’re extra frequent in older adults, with 60-to-70 yr olds being most affected.

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The growths – which will be cancerous – additionally are likely to happen in folks with fairer pores and skin, dermatologists say.

The reason for CHs is at the moment unknown, however scientists have beforehand discovered hyperlinks to radiation and UV publicity. 

Round half of CHs have a benign base, with the rest being malignant or pre-malignant, in response to DermNet New Zealand.

The underlying lesion is usually seborrheic keratosis, which is probably the most frequent non-cancerous pores and skin growths in older folks. 

Different causes can embrace viral warts, squamous cell carcinoma or the scaly progress actinic keratosis, which happens because of overexposure to UV radiation.

CHs will be straight or curved and are typically exhausting and yellow-brown in color. They are often surrounded by regular or thickened pores and skin. 

The aspect of the horn will be ridged, whereas the bottom could also be flat or protruding.  

Therapy focuses on eradicating the CH. The encompassing pores and skin may be excised relying on the character of the lesion. 

Supply: DermNet NZ