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To the Editor: A 61‐year‐old diabetic male presented with a growing hyperplastic plaque measured 1.5 cm × 1.0 cm on the glans of his penis for 2 months [Figure 1a]. The plaque was pruritic burning. Polarized dermoscopy revealed multiple red papules with whitish areas of erosions [Figure 1b]. The patient was diagnosed as vascular neoplasm at other hospitals and he came to the Department of Dermatology, Peking University People’s Hospital for further consultation before an excision surgery. His topa thologica l examina t ion showed ep idermal pseudoepitheliomatous hyperplasia, dilation and proliferation of the vascular vessels with edematous vascular endothelium, erythrocytes extravasation and deposits of hemosiderin; dense mixed infiltration of plasma cells, neutrophils, and eosinophils were noted in the dermis [Figure 1c and 1d]. Periodic acid‐Schiff and Grocott’s methenamine silver staining were negative for fungus. The results of Treponema pallidum particle assay, rapid plasma reagin test, and Candida Balanitis with Hyperplastic Plaque Mimicking Vascular Neoplasm