Pigmented Bowen Disease in a Black Patient: Novel Dermoscopic Findings [letter]

Although Bowen disease (BD) is a fairly common condition, pigmented BD is a rare form of the dis­ease characterized by a hyperpigmented appearance. The disease represents less than 2% of all lesions. Despite its relative infrequency, the disease remains in the differential diagnosis of specific hyperpigmented lesions along with superficial spreading melanoma, pigmented basal cell carcinoma, and melanocytic nevus. Bowen disease has been described in black individuals and can present as a pigmented lesion that can mimic melanoma. Our case is unique because the use of dermoscopy aided in the diagnosis.