Indian J Sex Transm Dis Indian J Sex Transm Dis
Official Publication of the Indian Association for the Study of Sexually Transmitted Disesses
Indian J Sex Transm Dis
The Journal | Search | Ahead Of Print | Current Issue | Archives | Instructions | Subscribe | Login    Users online: 3   Home Email this page Print this page Bookmark this page Decrease font size Default font size Increase font size


 
PHOTO QUIZ
Year : 2010  |  Volume : 31  |  Issue : 1  |  Page : 63-64
 

What is your diagnosis?


Department of Dermatology, Venereology and Leprology, G R Medical College, Gwalior, India

Date of Web Publication3-Sep-2010

Correspondence Address:
Khozema Saify
Multispecialty Clinic, In basement of Parakh X-ray, Kampoo, Lashkar, Gwalior - 474 001 (MP)
India
Login to access the Email id


DOI: 10.4103/0253-7184.69010

PMID: 21808443

Get Permissions

 



How to cite this article:
Saify K, Saraswat P K, Mishra D, Jeswani P. What is your diagnosis?. Indian J Sex Transm Dis 2010;31:63-4

How to cite this URL:
Saify K, Saraswat P K, Mishra D, Jeswani P. What is your diagnosis?. Indian J Sex Transm Dis [serial online] 2010 [cited 2014 Aug 28];31:63-4. Available from: http://www.ijstd.org/text.asp?2010/31/1/63/69010


A 60-year-old uncircumcised male presented with asymptomatic growth on the glans penis of 7 years duration. There were no complaints or past history suggestive of sexually transmitted diseases (STDs). There was no history of trauma to penis, localized dermatoses, systemic diseases or any prolonged medications. There was no history of any significant illness in the partner. The condition was initially diagnosed clinically as a case of penile psoriasis and treated with potent topical corticosteroids. There was partial response to the treatment with some reduction in scaling, but the patch gradually increased in size and became elevated over the course of time. Over the past 1 year, the lesion started increasing in the size, developed verrucosity and thick mica-like scaling. On examination, there was hyperkeratotic, hypertrophic, verrucous plaque with thick scaling on the glans and rim of erythema. His S. VDRL and S. HIV tests were normal. Hematological, biochemical and radiological examination did not reveal any abnormality. Histopathological examination with hematoxylin and eosin staining showed irregular exo-endophytic hyperplasia of the epidermis with elongated downgrowths. There was prominent mitotic activity of the basal and suprabasal layers of the epidermis with mild atypia and pleomorphism of nuclei. The surface showed a marked thick, parakeratotic stratum corneum. A focally lichenoid lymphoplasmacytic infiltrate was present [Figure 1] and [Figure 2].
Figure 1 :Hyperkeratotic plaques on the glans penis

Click here to view
Figure 2 :Erythema of the dorsal surface of the penis

Click here to view


What is your diagnosis?



Click here to view answer. View Answer


 
   References Top

1.Perry D, Lynch PJ, Fazel N. Pseudoepitheliomatous, keratotic, and micaceous balanitis: case report and review of literature. Dermatol Nurs 2008;20:117-20.  Back to cited text no. 1  [PUBMED]    
2.Bart RS, Kopf AW. Tumor Conference No 14: on a dilemma of penile horns-pseudoepitheliomatous, hyperkeratotic and micaceous balanitis. J Surg Oncol 1977;3:580.  Back to cited text no. 2      
3.Krunic AL, Djerdj K, Starcevic-Bozovic A, Kozomara MM, Martinovic NM, Vesic SA et al. Pseudoepitheliomatous, keratotic and micaceous balanitis. Case report and review of the literature. Urol Int 1996;56:125-8.  Back to cited text no. 3      
4.Jenkins D Jr, Jakubovic HR. Pseudoepitheliomatous, keratotic, micaceous balanitis. A clinical lesion with two histological subsets: hyperplastic dystrophy and verrucous carcinoma. J Am Acad Dermatol 1988;18:419-22.  Back to cited text no. 4  [PUBMED]    
5.Bunker CB, Neill SM, Rook's Textbook of Dermatology. 7 th ed. Oxford: Blackwell Science; 2004. p. 68, 35.  Back to cited text no. 5      
6.Child FJ, Kim BK, Ganesan R, Southern SA, Herrington CS, Calonje E. Verrucous carcinoma arising in Pseudoepitheliomatous keratotic and micaceous balanitis, without evidence of human papilloma virus. Br J Dermatol 2000;143:183-7.  Back to cited text no. 6  [PUBMED]  [FULLTEXT]  
7.Beljaards RC, van Dijk E, Hausman R. Is Pseudoepitheliomatous, micaceous and keratotic balanitis synonymous with verrucous carcinoma? Br J Dermatol 1987;117:641-6.  Back to cited text no. 7  [PUBMED]    
8.Irvine C, Anderson JR, Pye RJ. Micaceous and keratotic Pseudoepitheliomatous balanitis and rapidly fatal fibrosrcoma of the penis occurring in the same patient. Br J Dermatol 1987;116:719-25.  Back to cited text no. 8  [PUBMED]    
9.Querol NI, Cordoba IA, Castillo Jimeno JM, Ripa SL, Monzon Munoz FJ. Pseudoepitheliomatous and micaceous balanitis. Arch Esp Urol 1998;51:824-6.  Back to cited text no. 9      
10.Bargman H. Pseudoepitheliomatous, keratotic, and micaceous balanitis. Cutis 1985;35:77-9.  Back to cited text no. 10  [PUBMED]    
11.Read SI, Abell E. Pseudoepitheliomatous, keratotic, and micaceous balanitis. Arch Dermatol 1981;117:435-7.  Back to cited text no. 11  [PUBMED]  [FULLTEXT]  


    Figures

  [Figure 1], [Figure 2]



 

Top
Print this article  Email this article
Previous article Next article

    

 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (1,145 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    Discussion
    References
    Article Figures

 Article Access Statistics
    Viewed13651    
    Printed119    
    Emailed1    
    PDF Downloaded86    
    Comments [Add]    

Recommend this journal