Bowen’s disease

Kaoutar Laamari¹, Salim Gallouj¹, Fatima Zahra Mernissi¹, Abdelhafid El Marfi², Abdelmajid El Mrini²

¹Department of Dermatology, University Hospital Hassan II Fez, Morocco; ²Department of Traumatology Orthopedy B4, University Hospital Hassan II Fez, Morocco

Corresponding author: Dr. Kaoutar Laamari, E-mail: kaoutarlaamari1@gmail.com

Submission: 09.07.2019; Acceptance: 14.09.2019

DOI: 10.7241/ourd.2020e.22

Cite this article: Laamari K, Gallouj S, Mernissi FZ, El Marfi A, El Mrini A. Bowen’s disease. Our Dermatol Online. 2020;11(e):e22.1.

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A 32-year-old patient, with no significant pathological history, who consulted in dermatology for a nail lesion involving the left major, non-painless, non-pruritic, gradually increasing in size since 1 year. On the dermatological examination, it was noted the presence of a plate making 1,5cm long axis, well limited, with verrucous surface sitting at the level of the distal edge of the left major with extension under one nail (Fig. 1). A cutaneous biopsy was performed on the tumor whose histology favored carcinoma in situ. Surgical treatment was indicated. Bowen’s disease is a carcinoma that rarely affects the nail system. It usually presents as an erythematous plaque or hyperkeratotic verrucous lesions. Nodules, ulcerations and bleeding are also described. Treatment remains surgical.

Figure 1: A plate making 1,5cm long axis, well limited, with verrucous surface sitting at the level of the distal edge of the left major with extension under one nail.

Consent

The examination of the patient was conducted according to the Declaration of Helsinki principles.

Notes

Source of Support: Nil.

Conflict of Interest: None declared.