Atypical presentation of bowens disease 

• Author Details:   
• Nikita Narayanan
• Vaishnavi Sabapathi ^*
• Gopalakrishnan Kunjaram
• Kavya Gowda
• Jayakar Thomas

---

View PDF

In-situ squamous cell carcinoma of the epidermis is known as Bowen's disease (BD). BD has a complex aetiology and a significant prevalence in the Caucasian population. Although it can affect other regions of the skin, BD is most common in photo exposed areas. Typically, lesions are isolated. The lesion's age, origin, and level of keratinisation all affect the appearance of BD. Before an overt squamous cell carcinoma, BD is referred to as the "lull before the storm." The most reliable diagnostic technique for confirming the diagnosis is histopathology. Adjuvant techniques for diagnosing BD include immunohistochemistry, dermoscopy, and reflectance confocal microscopy. In this unusual instance of Bowen's disease, we show a single plaque on the thigh, which is not normally exposed to sunlight.