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Periungual Bowen's disease in a 4-year-old girl

Sharon Kim, Grace S Sun, Teresa S Wright

    Pediatric Dermatology
    |February 21, 2014
    PubMed

    Insights

    Bowen's disease, a rare skin cancer in children, typically affects sun-exposed areas in adults. This report details a case of Bowen's disease on a child's fingernail, highlighting a rare pediatric presentation.

    Area of Science:

    • Dermatology
    • Pediatric Oncology

    Background:

    • Bowen's disease (BD), or squamous cell carcinoma in situ, is uncommon in pediatric populations.
    • Typically observed in Caucasian adults on sun-exposed skin, BD can potentially advance to invasive squamous cell carcinoma.
    • Periungual location of BD is frequently associated with human papillomavirus (HPV) infections.

    Observation:

    • This case study focuses on an immunocompetent child diagnosed with periungual Bowen's disease.
    • The affected site was the periungual area, which is unusual for pediatric cases.

    Findings:

    • The study documents an instance of Bowen's disease in a child without compromising immunity.
    • The periungual location in a pediatric patient is a notable finding.

    Implications:

    • This case expands the understanding of Bowen's disease presentation in children.
    • It underscores the importance of considering rare dermatological conditions in pediatric patients, even in immunocompetent individuals.
    • Further research may be warranted to explore potential etiological factors in pediatric periungual BD.

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