In each of the reports cited by Dr Fleury,1-5 the authors did describe patients with genital lesions similar to the genital lesions in our patients with bowenoid papulosis. It should be noted that one of those references was coauthored by one of us (A.W.K.)3 and another5 appeared after our reports were published.6,7
We must disagree with Dr Fleury that bowenoid papulosis is well known. Not only were there few articles about these lesions, but most of them concerned women, especially those who were pregnant.1,2,8 The vast majority of our patients were young men.
In most of the previous articles about bowenoid papulosis,1,2,4,5,8 the authors interpreted the lesions on the genitals to be authentic Bowen's disease or bowenoid intraepithelial carcinoma. We considered the lesions that we studied to be "unusual" because they were distinctly different from Bowen's disease in clinical appearance, number of lesions, and
Wade TR, Ackerman AB, Kopf AW. Bowenoid Papulosis of the Genitalia-Reply. Arch Dermatol. 1980;116(3):274. doi:10.1001/archderm.1980.01640270034008