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An Adolescent Boy with Persistent Penile and Scrotal Erythema and Swelling
Author(s) -
Zabetian Saba,
Lowe Lori,
Shwayder Tor
Publication year - 2012
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/j.1525-1470.2011.01705.x
Subject(s) - medicine , medical school , citation , library science , medical education , computer science
Case Presentation An 11-year-old Caucasian boy presented to our dermatology clinic with a 1-year history of a mildly pruritic, scaly, erythematous, edematous plaque involving the entire penis and scrotum. Potassium hydroxide preparation was negative for fungi. Clinical impression at that time was psoriasis, and he improved somewhat with topical corticosteroids, but over the next 2 years, he developed more nontender edema and erythema of the scrotum and the penis. He remained otherwise healthy without any fever, chills, or weight loss. Family history was positive for psoriasis and eczema. Physical examination of the groin and genitalia revealed scrotal and penile edema and erythema without increased warmth or signs of infection. Overlying the erythema were multiple scaly papules extending from the distal shaft of the penis to the scrotum and then under the raphe and up the gluteal cleft (Figs. 1 and2). The rest of skin examinationwasunremarkable. A 4-mm punch biopsy of the scrotum was performed. The histopathologic features are illustrated in Figs. 3 and 4.