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Case Reports
. 2013 Jul;34(2):123-5.
doi: 10.4103/0253-7184.120551.

Pseudoepitheliomatous keratotic and micaceous balanitis

Keshavmurthy A Adya  1 , Aparna Palit, Arun C Inamadar
Affiliations
Case Reports

Pseudoepitheliomatous keratotic and micaceous balanitis

Keshavmurthy A Adya et al. Indian J Sex Transm Dis AIDS. 2013 Jul.

Abstract

Many premalignant and malignant lesions affect the genitalia of elderly men. These include conditions like erythroplasia of Queyret, giant condyloma acuminata, verrucous carcinoma, invasive squamous cell carcinoma (SCC), which are relatively common. We report a case of a 65-year-old male with pseudoepitheliomatous keratotic and micaceous balanitis which is a rare penile condition affecting the elderly. It is considered as a distinct clinical entity by some, while others consider it as a condition that overlaps with verrucous carcinoma. It can also be considered a premalignant condition, as progression to invasive SCC has been noted.

Keywords: Pseudoepitheliomatous hyperplasia; pseudoepitheliomatous keratotic and micaceous balanitis; verrucous carcinoma.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Well-defined hyperkeratotic plaque with thick adherent micaceous scales
Figure 2
Figure 2
Hyperkeratosis, parakeratosis, acanthosis, and papillomatosis with fusion of some of the adjacent elongated papillae and perivascular mononuclear infiltrate in dermis. No cellular atypia seen (H and E, ×10)
Figure 3
Figure 3
After 3 weeks of treatment with topical 5% 5-fluorouracil
See this image and copyright information in PMC

References

    1. Bart RS, Kopf AW. On a dilemma of penile horns: Pseudoepitheliomatous, hyperkeratotic and micaceous balanitis? J Dermatol Surg Oncol. 1997;3:580–2. - PubMed
    1. Ganem JP, Steele BW, Creager AJ, Carson CC. Pseudo-epitheliomatous keratotic and micaceous balanitis. J Urol. 1999;161:217–8. - PubMed
    1. Lortat-Jacob E, Civatte J. Micaceous and keratosic pseudo-epitheliomatous balanitis. Bull Soc Fr Dermatol Syphiligr. 1961;68:164–7. - PubMed
    1. Pai VV, Hanumanthayya K, Naveen KN, Rao R, Dinesh U. Pseudoepitheliomatous, keratotic and micaceous balanitis presenting as cutaneous horn in an adult male. Indian J Dermatol Venereol Leprol. 2010;76:547–9. - PubMed
    1. Zawar V, Kirloskar M, Chuh A. ‘Watering-can penis’ in pseudoepitheliomatous, keratotic and micaceous balanitis. Acta Derm Venereol. 2004;84:329–30. - PubMed

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