Figure 2.

(a) Clinical image: pink/brown macule on the penis shaft. (b) Dermatoscopy (x30) shows an eccentric hyperpigmented area and irregularly distributed brown/black globules on a pinkish background (c) High magnification RCM examination at DEJ with edged dermal papillae as bright rings (yellow asterisks). White bar = 500 µm. (d) Histopathology of pigmented Bowen disease with acanthotic epidermis, thickening of rete ridges and basal pigmented keratinocytes (yellow arrow) (H&E staining. 10x magnification). RCM, Reflectance Confocal Microscopy.