Pseudoepitheliomatous, keratotic, and micaceous balanitis presenting as cutaneous horn in an adult male

Pai, Varadraj V; Hanumanthayya, K; Naveen, K; Rao, Ravikala; Dinesh, US

doi:10.4103/0378-6323.69087

Cited by 18 publications

(20 citation statements)

References 4 publications

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“…Later on cases were described in the English literature and until date there are less than 20 cases reported. [2] Only a few cases have been reported since then in India.…”

Section: Discussionmentioning

confidence: 99%

Pseudoepitheliomatous keratotic and micaceous balanitis with malignant transformation

Sardesai

Agarwal

Dalal

et al. 2013

Indian J Sex Transm Dis

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Pseudoepitheliomatous, keratotic and micaceous balanitis (PKMB) is a non-venereal and extremely rare pre-malignant condition characterized by silvery white plaque with micaceous scaling on glans seen in elderly uncircumcised men. Symptoms include phimosis, pain, and interference with sexual activity. Herein we present a young, 40-year-old male with PKMB of 5 years duration with deviation of urinary stream and histology showing acanthosis, hyperkeratosis with features of cellular atypia and abnormal mitosis suggestive of malignant transformation.

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“…Later on cases were described in the English literature and until date there are less than 20 cases reported. [2] Only a few cases have been reported since then in India.…”

Section: Discussionmentioning

confidence: 99%

Pseudoepitheliomatous keratotic and micaceous balanitis with malignant transformation

Sardesai

Agarwal

Dalal

et al. 2013

Indian J Sex Transm Dis

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“…Thickness of the plaque may sometimes be so much so that the lesion appears as a penile horn. [14] Hyperkeratotic plaques involving perimeatal skin may cause multiple urinary streams on micturition giving an appearance of a “watering-can penis”. [5]…”

Section: Discussionmentioning

confidence: 99%

“…[4] Differential diagnoses include penile horn, penile psoriasis (early plaque stage), giant condyloma, verrucous carcinoma, erythroplasia of Queyrat, SCC, and keratoacanthoma. PKMB and penile horn, as premalignant penile lesions, may be histologically classified as one of the squamous hyperplastic lesions that stain negatively for immunohistochemical markers of high grade penile intraepithelial lesions.…”

Section: Discussionmentioning

confidence: 99%

Pseudoepitheliomatous keratotic and micaceous balanitis

Adya

Palit

Inamadar

2013

Indian J Sex Transm Dis

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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.

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“…It is believed to be pseudoepitheliomatous response to chronic inflammation or infection. There is one case report of PKMB presenting as penile horn[4] and one case report of nail-like mass. [5] Acitretin is a second generation retinoid and known to normalize the keratin.…”

Section: Introductionmentioning

confidence: 99%

Penile horn: A rare presentation of pseudoepitheliomatous, keratotic, and micaceous balanitis successfully treated with oral acitretin

Sirka

Sahu

Pradhan

et al. 2019

Indian Dermatol Online J

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Glans penis is an unusual site for horn. Only few cases are reported worldwide in English literature. Pseudoepitheliomatous, keratotic, and micaceous balanitis (PKMB) is a pyodermatitis with pseudoepitheliomatous response to chronic inflammation or infection. Rarely it can develop a horn. There is one case report of PKMB presenting as penile horn and one case with nail-like presentation in the literature. Mode of treatment of PKMB with horn ranged from topical 5-fluorouracil, electrosurgery, and cryosurgery to excision. Use of oral acitretin in PKMB or penile horn is unknown. We are reporting a 60-year-old circumcised male who presented with a penile horn. Histology was suggestive of PKMB. Treatment with topical 5-flurouracil did not work. He was successfully treated with oral acitretin.

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Pseudoepitheliomatous, keratotic, and micaceous balanitis presenting as cutaneous horn in an adult male

Cited by 18 publications

References 4 publications

Pseudoepitheliomatous keratotic and micaceous balanitis with malignant transformation

Pseudoepitheliomatous keratotic and micaceous balanitis with malignant transformation

Pseudoepitheliomatous keratotic and micaceous balanitis

Penile horn: A rare presentation of pseudoepitheliomatous, keratotic, and micaceous balanitis successfully treated with oral acitretin

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