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Year : 2021  |  Volume : 8  |  Issue : 1  |  Page : 20-22

Pseudoepitheliomatous keratotic and micaceous balanitis: A distinct entity

1 Dermatologic Surgicenter, Philadelphia, PA, USA
2 Department of Dermatology, Saint George Hospital University Medical Center, Beirut, Lebanon
3 Faculty of Medicine, Lebanese University, Beirut, Lebanon
4 Department of Dermatology, Saint George Hospital University Medical Center, Beirut, Lebanon; Department of Dermatology, Faculty of Medicine, Balamand University, Beirut, Lebanon

Correspondence Address:
Antoine Salloum
Dermatologic Surgicenter, Philadelphia, PA.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijdpdd.ijdpdd_93_20

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Pseudoepitheliomatous keratotic and micaceous balanitis (PKMB), an uncommon glans penis skin disorder, affects mainly elderly men and can progress to verrucous carcinoma or invasive squamous cell carcinoma. A 22-year-old male presented with a 5-year history of a slightly pruritic thick scaly plaque on the glans penis that appeared 2 months after undergoing circumcision. Physical examination revealed a well-defined hyperkeratotic plaque with thin mica-like scales. Histological examination of previous biopsies showed acanthosis with elongation of the rete ridges, prominent granular cell layer, and marked orthokeratotic hyperkeratosis. The diagnosis of plaque-stage PKMB was made. The patient had monthly sessions of topical liquid nitrogen and after 20 weeks, the plaque shrank significantly.

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