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October 1973

Bowen Disease of the Nail Bed

Author Affiliations

Allen Park, Mich

Arch Dermatol. 1973;108(4):577-578. doi:10.1001/archderm.1973.01620250057021

To the Editor.—  In July 1972, Coskey et al reported four cases of Bowen disease of the nail bed.1 Only one other instance of this condition in the nail bed was previously reported in the world's literature.2The purpose of this letter is to report an example of this disease and to point out the necessity for histologic examination of any suspicious lesion in this location.

Report of a Case  A 45-year-old white male truck driver was first seen in the Dermatology Clinic, Veterans Administration Hospital, Allen Park, Mich, on Oct 6, 1970. Five years previously, he had noted an "ingrown nail" on the medial aspect of the left index finger. Iodine tincture, rubbing alcohol, and ichthammol were applied; however, there was progressive loss of the nail plate and ulceration. He first consulted a physician after the lesion had been present for

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