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Official Publication of the Indian Association for the Study of Sexually Transmitted Diseases
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PHOTO QUIZ
Year : 2010  |  Volume : 31  |  Issue : 2  |  Page : 130-131
 

What is your diagnosis?


Department of Skin and VD, Government Medical College and SSG Hospital, Vadodara, Gujarat, India

Date of Web Publication7-Jan-2011

Correspondence Address:
Y S Marfatia
Department of Skin and VD, Government Medical College and SSG Hospital, Vadodara, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7184.75032

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How to cite this article:
Singhal P, Dixit R, Patel S, Marfatia Y S. What is your diagnosis?. Indian J Sex Transm Dis 2010;31:130-1

How to cite this URL:
Singhal P, Dixit R, Patel S, Marfatia Y S. What is your diagnosis?. Indian J Sex Transm Dis [serial online] 2010 [cited 2019 Nov 18];31:130-1. Available from: http://www.ijstd.org/text.asp?2010/31/2/130/75032


A 45-year-old uncircumcised married male presented with asymptomatic growth on the glans penis of 8 months duration. There were no complaints or past history suggestive of sexually transmitted diseases (STDs) or pre-existing skin lesion. There was no history of trauma, any other dermatoses, or systemic disease. There was no history of STD in the partner. The patient was initially diagnosed as a case of genital warts and was being treated with podophyllin and cryotherapy, but there was no improvement.

On examination, there was hyperkeratotic, hypertrophic, verrucous plaque with mild crusting on glans [Figure 1] and [Figure 2]. There was no inguinal lymphadenopathy. S. VDRL and S. HIV were nonreactive. Differentials considered were pseudoepitheliomatous keratotic and micaceous balanitis) and squamous cell carcinoma. Histopathologic examination showed massive thickening of stratum corneum with ortho- and parakeratotic hyperkeratosis. There was no evidence of malignant or premalignant changes at the base of the lesion [Figure 3] and [Figure 4].
Figure 1: Hyperkeratotic, hypertrophic, verrucous plaque with mild crusting on glans penis

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Figure 2: Hyperkeratotic plaque on glans penis

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Figure 3: Massive thickening of stratum corneum with ortho- and parakeratotic hyperkeratosis (×10)

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Figure 4: Massive thickening of stratum corneum with ortho- and parakeratotic hyperkeratosis (×40)

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What is your diagnosis?



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   References Top

1.Rekha A, Ravi A. Cornu cutaneum-cutaneous horn on the penis. Indian J Surg 2004:66;296-7.  Back to cited text no. 1
    
2.Mutaf M. A rare perioral lesion: Cutaneous horn of the lower lip. Eur J Plast Surg 2007;29:339-41.  Back to cited text no. 2
    
3.Tauro LF, Martis JJ, John SK, Kumar KP. Cornu cutaneum at an unusual site. Indian J Plast Surg 2006;39:76-8.  Back to cited text no. 3
  Medknow Journal  
4.Lowe FC, McCullough AR. Cutaneous horns of the penis: An approach to management. Case report and review of the literature. J Am Acad Dermatol 1985;13:369-73.  Back to cited text no. 4
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