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01.10.2015 | brief report | Ausgabe 19-20/2015

Wiener Medizinische Wochenschrift 19-20/2015

Bowen’s disease of the nail apparatus: a series of 8 patients and a literature review

Zeitschrift:
Wiener Medizinische Wochenschrift > Ausgabe 19-20/2015
Autor:
MD Prof. Dr. Uwe Wollina

Summary

Bowen’s disease of the nail apparatus is uncommon. Since often characteristic clinical features are missing, diagnosis and treatment are delayed. We have analyzed our patients’ files from January 2001 to July 2015 for this disorder. We identified eight patients with Bowen’s disease of the nail apparatus, six male and two female individuals. Fingers were more often affected than toes. The disease does not respect the anatomical borders of the nail apparatus. Therefore, we performed delayed Mohs surgery with skin grafts in seven patients and with second intention healing in one patient. Two relapses were noted but only one ate the same digit. Since relapses occurred after 2–3 years, a follow-up of such patients seems justified.

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