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Background and Objective : Bowenʼs disease is a type of an in situ squamous cell carcinoma. Typi cal type of Bowenʼs disease present as a gradually growing well-dermarcated eryth ematous plaque with an irregular border and surface crusting or scaling. This case demonstrates that Bowenʼs disease which had a relapse during applying the topical imiquimod can be treated by herbal medicin e. Methods : A 72-year-old man patient presented with a erythematous plaq ue on his right medial malleolar area. The diagnosis of Bowen's disease was based on the clinical fea tures. The chief complaints were scales, fissures, crusts and dryness of skin, erythema plaque, hyperpigmentation, bleeding, tenderness on the lesion. He was treated with Mahaengeuigam-Tang for 77 days. The severity of Bowenʼs disease was evaluated by visible assessment to determine the end-point of clearance. Results : After the treatment, fissures, crusts and dryness of skin and bleeding, tenderness on the lesion were vanished. Scales and erythema plaque, hyperpigmentation of the lesion little remained. Conclusions : Mahaengeuigam-Tang can be used on the treatment of skin disease which has charact eristics plaques and crusts of skin. Key words : Bowen’s disease; Mahaengeuigam-Tang(麻杏薏甘湯)

A case of Bowen's disease improved with Mahaengeuigam-Tang