World’s Forth Tree Man . . . 

Abul Bajandar, 25 years old is the fourth man in the world with the tree man illness, a rare skin disorder caused by a virus named human papillomaviruses awaits treatment at the Dhaka Medical College, in Dhaka, Bangladesh, 08 February 2016. © Monirul Alam

Abul Bajandar, 25, is the fourth man in the world with the tree man illness, a rare skin disorder caused by a virus named human papillomaviruses.

According to information found in the Internet, a Romanian man was first diagnosed with the disease in March 2007. Another case was reported in Indonesia in November the same year in a 35-year-old fisherman. The last reported case also occurred in the same region of Indonesia in 2009.

“I need assistance for all my daily tasks from eating to using the toilet,” said Abul . His mother and wife now take care of him every day. “The heavy weight almost tears down my arms and the pain increases when I move my limbs.” 

“I have seen this case for the first time in Bangladesh,” said Dr Sen, noted physician and coordinator of the Burn & Plastic Surgery Unit. 
Abul, who married in 2011 and fathered a three-year-old daughter, soon lost all functions of his hand and had to give up his job as a van driver. The last time we went to India, doctors said we have to do surgery and referred us to Vellore in Madras. But we could not afford the treatment there which would take about Tk 5 lakh,” said Abul.
“We may not be able to provide him with an absolute cure, but perhaps we can at least try to make his hands functional,” said Dr Sen, after he, his team and another plastic surgeon from Chittagong examined Abul on Saturday morning.

He said he would contact other plastic surgeons of the country and set a five-member medical board on Sunday to decide about the investigation, diagnosis and treatment of Abul’s medical case, which would be completely free of cost.

According to the Dermnet, New Zealand, known as epidermodysplasia verruciformis [also called Lewandowsky-Lutz dysplasia] is an autosomal recessive inherited disorder, which means that two abnormal EV genes, one from each parent, are needed to have the disease.
According to Amena Begum, no-one in Abul’s maternal or paternal family had ever such conditions.

Till date no cure has been found. The Indonesian fisherman whose case received worldwide attention, had gained some mobility through surgery, but the warts began to reappear afterwards. [ edited]

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