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We made use of 5-aminolevulinic acid-photodynamic therapy (ALA-PDT) along with plum-blossom needle (PBN) on a 3.5 cm × 3.0 cm pretibial region to treat a senior girl struggling with Bowen's disease (BD). Before the application of ALA, the PBN ended up being inserted 3-4 times vertically beginning at 5 cm over the lesion. Then, 20% 5-ALA lotion had been used with an incubation period of 3.5 h. A semiconductor laser at a wavelength of 635 nm