Multicentric Bowen’s Disease Of The Genitalia Spontaneous Regression Of Lesions
Archives of Dermatology 114(11): Nov 1978; 1698-1699
View Original Source →Abstract
J. L., a girl aged 4 years, had at birth a vascular nevus of the interscapular region which was soft, slightly raised and scarlet, apparently a typical strawberry mark. When the child was seen at the age of 18 months, the lesion measured 15 by 21 millimeters and was slightly raised. The surface had whitened somewhat but was studded with deep red points. In the belief that the type of nevus known as the strawberry mark almost invariably disappears spontaneously, no treatment was advised. Today the area is flat; a few red dots and a red line about the border are still visible. The case is presented for opinion as to the frequency of spontaneous disappearance of such lesions.
Case Details
Personal Characteristics
25-year-old woman, gravida 2, para 2
Clinical Characteristics
Vulvar lesions, brown to brown-black verrucose nodules, epidermal hyperplasia, parakeratosis, disorganization of epidermal cells, numerous mitotic figures, individual cell keratinization, lymphocytic infiltrates in the upper dermis, deformity of the nucleoli, indented nuclei, and nuclear bodies
Remission Characteristics
Lesions regressed within a threeweek period following her initial visit to our clinic, brown macules were all that remained of the original lesions, histologic examination of one of these macules showed no mitotic figures nor atypism of epidermal cells
Treatment & Mechanisms
Proposed Remission Mechanisms
Not discussed
Clinical Treatment
No treatment was administered
Additional Notes
The patient has remained free of Bowen’s disease for the past two years