PIGMENTED BOWEN'S DISEASE - AN UNUSUAL PRESENTATION

  • Maria Victória Pinto Quaresma Santos Médica Pós-Graduanda/Consultant Dermatology, do Serviço de Dermatologia da Santa Casa da Misericórdia do Rio de Janeiro, Brasil
  • Fred Bernardes Filho Médico Pós-Graduando/Consultant Dermatology, do Serviço de Dermatologia da Santa Casa da Misericórdia do Rio de Janeiro. Brasil
  • Felipe Nazareth Médico Pós-Graduando/Consultant Dermatology, do Serviço de Dermatologia da Universidade Federal do Rio de Janeiro, Brasil
  • Fabrício Lamy Professor Auxiliar de Dermatologia/Associated Professor of Derematology, do Instituto de Pós-Graduação Médica Carlos Chagas, Coordenador Médico dos Ambulatórios do Serviço de Dermatologia da Policlínica Geral do Rio de Janeiro, Brasil
  • Felipe Ladeira de Oliveira Estagiário/Resident Dermatology, do Instituto de Dermatologia Professor Rubem David Azulay – Rio de Janeiro, Brasil
  • Thais Schiavo de Morais Estagiário/Resident Dermatology, do Instituto de Dermatologia Professor Rubem David Azulay – Rio de Janeiro, Brasil
  • Fernanda Helena Craide Estagiário/Resident Dermatology, do Instituto de Dermatologia Professor Rubem David Azulay – Rio de Janeiro, Brasil
  • Letycia Lopes Chagas Nogueira Estagiário/Resident Dermatology, do Instituto de Dermatologia Professor Rubem David Azulay – Rio de Janeiro, Brasil
  • Carlos Gustava Carneiro de Castro Especialista em Dermatologia/Consultant Dermatology, pela Sociedade Brasileira de Dermatologia e pela AMB

Abstract

Bowen's disease consists of a squamous cell carcinoma in situ and the pigmented form of the disease is an unusual presentation. The authors describe a case of pigmented Bowen's disease in a male patient, 56 years, with an asymptomatic hyperpigmented plaque on the anterior surface of the right thigh for 10 years. Histopathological examination showed atypical keratinocytes on the entire epidermis with loss of polarity, melanin pigmentation in the basal layer and lichenoid lymphocytic infiltrate. A complete excision of the lesion with wide margins was made with no recurrence. Although relatively rare, pigmented Bowen's disease should always be remembered and included in the differential diagnosis of melanoma and other pigmented lesions.

KEYWORDS – Bowen’s Disease; Skin pigmentation; Sunlight.

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Published
2013-01-13
How to Cite
Santos, M. V. P. Q., Filho, F. B., Nazareth, F., Lamy, F., de Oliveira, F. L., de Morais, T. S., Craide, F. H., Nogueira, L. L. C., & de Castro, C. G. C. (2013). PIGMENTED BOWEN’S DISEASE - AN UNUSUAL PRESENTATION. Journal of the Portuguese Society of Dermatology and Venereology, 70(3), 375. https://doi.org/10.29021/spdv.70.3.17
Section
Case Reports