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Year : 2007  |  Volume : 73  |  Issue : 6  |  Page : 447-448

Scaly erythematous plaque on the chest


1 Department of Skin and STD, KMC, Manipal, India
2 Department of Pathology, KMC, Manipal, India

Correspondence Address:
Vandana Mehta Rai
Department of Skin and STD, Kasturba Medical College, Manipal - 576 104, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.37084

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How to cite this article:
Rai VM, Balachandran C, Bhat S, Geetha V. Scaly erythematous plaque on the chest. Indian J Dermatol Venereol Leprol 2007;73:447-8

How to cite this URL:
Rai VM, Balachandran C, Bhat S, Geetha V. Scaly erythematous plaque on the chest. Indian J Dermatol Venereol Leprol [serial online] 2007 [cited 2020 Jun 4];73:447-8. Available from: http://www.ijdvl.com/text.asp?2007/73/6/447/37084


A 55 year-old male presented to us with an asymptomatic plaque on the chest of a year's duration. There was a history of excessive exposure to the sun as he was a field worker but there was no history of contact with insecticides, pesticides or fertilizers. There was no similar lesion elsewhere on the body. The patient had been treated by a local physician with topical steroids for the past one year without any improvement. Cutaneous examination revealed a 3 x 3 cm well-marginated, erythematous, mildly scaly plaque on the V area of the neck [Figure - 1]. Biopsy performed from the lesion showed an irregularly acanthotic epidermis with mild nuclear pleomorphism, loss of normal architecture, scattered dyskeratotic keratinocytes, multinucleated giant cells with a lichenoid lymphoplasmacytic infiltrate [Figure - 2],[Figure - 3],[Figure - 4].


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1.Kossard S, Rosen R. Cutaneous Bowen's disease: An analysis of 1001 cases according to age, sex and site. J Am Acad Dermatol 1992;27:406-10.  Back to cited text no. 1      
2.Yeh S, How SW, Lin CS. Arsenical cancer of skin. Histologic study with special reference to Bowen's disease. Cancer 1968;21:312-39.  Back to cited text no. 2      
3.McGrae JD Jr, Greer CE, Manos MM. Multiple Bowen's disease of the fingers associated with Human papilloma virus type 6. Int J Dermatol 1993;32:104-7.  Back to cited text no. 3      
4.Patel GK, Goodwin R, Chawla M, Laidler P, Price PE, Finlay AY, Motley RJ. Imiquimod 5% cream monotherapy for cutaneous squamous cell carcinoma in situ (Bowen's disease): A randomised double blind placebo controlled trial. J Am Acad Dermatol 2006;54:1025-32.  Back to cited text no. 4      
5.Clayton TH, Tait J, Whitehurst C, Yats VM. Photodynamic therapy for superficial basal cell carcinoma and Bowen's disease. Eur J Dermatol 2006;16:39-41.  Back to cited text no. 5      


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