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Bowen's disease concealed by purpura
Author(s) -
YOON Tae Young,
KIM Hee Jung,
KIM June Woo,
KIM Mi Kyeong,
LEE Ji Yeoun
Publication year - 2007
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2007.00219.x
Subject(s) - seborrheic keratosis , dermatology , medicine , angiosarcoma , actinic keratosis , basal cell carcinoma , scalp , purpura (gastropod) , bowen's disease , amelanotic melanoma , basal cell , differential diagnosis , melanoma , pathology , ecology , cancer research , biology
Bowen's disease (BD) is a squamous cell carcinoma in situ characterized by a well‐demarcated scaly erythematous thin plaque with an irregular outline. Clinically, BD is frequently misdiagnosed as superficial basal cell carcinoma, patches of dermatitis, psoriasis, lichen planus, actinic keratosis, benign lichenoid keratosis, irritated seborrheic keratosis, viral warts, amelanotic melanoma or melanoma. However, angiosarcoma has not usually been mentioned in the differential diagnosis of BD before. Herein, we describe two cases of BD presenting as purpura on the scalp of the elderly with an initial clinical suspicion of angiosarcoma.