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Year : 2020  |  Volume : 7  |  Issue : 2  |  Page : 102-105

Pigmented Bowen’s disease over photo protected site in an Indian male: a rare case report

Department of DVL, Institute of Medical Sciences and SUM Hospital, S‘O’A University, Bhubaneswar, Odisha, India

Correspondence Address:
MD Ipsita Debata
Associate Professor, Department of DVL, IMS & SUM Hospital, Kalinga Nagar, Bhubaneswar, Odisha 751003
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/Pigmentinternational.Pigmentinternational_

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Bowen’s disease is a relatively common, yet under-recognized form of squamous cell carcinoma in situ. Pigmented BD (Pigmented BD) is a rare subtype of BD characterized by a hyperpigmented appearance, accounting for only 2% of all reported cases of BD. A 56 year old male presented with a scaly violaceous plaque over the scrotal skin with a dermoscopic picture of structure-less areas and bluish-brown dots, black globules with diffuse light violaceous pigmentation. Biopsy showed full thickness keratinocyte atypia with mitosis at all levels and pigment incontinence. We report this case because of the atypical presentation of BD, supported by dermoscopy and histopathology findings. The rarity of such a clinical presentation signifies the need of a high index of clinical suspicion in such cases.

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