A 41-year-old man with PASH syndrome developed high-grade penile intraepithelial neoplasia five months after initiating tofacitinib for refractory disease. Histopathology confirmed PeIN with diffuse p16 and Ki-67 positivity, and the lesions improved after discontinuation of tofacitinib and treatment with cryotherapy and topical imiquimod. This case highlights a potential association between JAK inhibition and HPV-related neoplasia, underscoring the importance of vigilance for mucocutaneous HPV lesions during treatment.
Balado‐Simó et al. (Fri,) studied this question.
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