Pigmented Bowen's disease (pBD) is a rare form of Bowen's disease (BD), characterised by a hyperpigmented aspect of the lesion. Dermoscopy improves the diagnostic accuracy not only in melanocytic lesions, but also in other skin neoplasms, such as BD [1]. Here, we report an exceptional case of pBD located on the lip, mimicking a melanocytic lesion. To our knowledge, this is the first reported case of pBD of the lip observed using dermoscopy.A 37-year-old Japanese male presented with a four-month history [...]