Open AccessPenile horn: A rare presentation of pseudoepitheliomatous, keratotic, and micaceous balanitis successfully treated with oral acitretin
Author(s) -
Chandra Sekhar Sirka,
Kananbala Sahu,
Swetalina Pradhan,
Naik Ss
Publication year - 2019
Publication title -
indian dermatology online journal
Language(s) - English
Resource type - Journals
eISSN - 2249-5673
pISSN - 2229-5178
DOI - 10.4103/idoj.idoj_305_18
Subject(s) - medicine , dermatology , acitretin , french horn , presentation (obstetrics) , balanitis , glans , penis , surgery , psoriasis , psychology , pedagogy
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.