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December 1965


Arch Dermatol. 1965;92(6):750-754. doi:10.1001/archderm.1965.01600180142031

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Bowen's Disease Located on Fingers. Presented by Dr. Cyril H. March.  A 61-year-old man has had skin changes on the second and fourth fingers of the left hand for five years. The condition is said to have started in the form of weeping and crusting after "handling wood." Examination at this time shows fairly well-demarcated areas of brownish-red discoloration, crusting, fissuring, and scaling on the dorsal, lateral, and flexor surfaces of the left index finger and on the lateral and flexor surfaces of the left ring finger (Fig 1 and 2). When first seen, impetiginization in the manner of acrodermatitis continua suggested itself, but after treatment with a topical preparation of an antibiotic and a steroid the present appearance remained. A biopsy was then taken and interpreted by Dr. Arthur B. Hyman as Bowen's

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