Donovanosis in a Tunisian man: Atypical presentation and dermoscopic findings

Donovanosis or Squamous Cell Carcinoma of Penis

“…There is marked vascular proliferation in the ulcerogranulomatous variety of donovanosis which can explain the polymorphous vascular structures seen in dermoscopy, although it is a common finding in SCC too. [ 11 ] Rosettes (four white points, arranged as a four-leaf clover or four-clod dots) which represent the keratin-filled adnexal openings at infundibular level should be absent in a case of donovanosis, however, their absence does not rule out SCC as it may not be visible at places where hair follicles are absent, such as the glans. [ 12 ] Larger rosettes or clods represent keratin pearls or concentric perifollicular fibrosis while, white shiny streaks or lines correspond to fibrotic changes in the dermis.…”