By Gary M. White, MD
Lichen Planus, Penis
Circinate Balanitis (for a picture, see Dermatology Online Journal 14(12))
Median Raphe Cyst Courtesy O. Dale Collins, MD
Double Penis. For a picture, see DiphalicDude or Double Dick Dude @DiphallicDude
Allergic Contact Dermatitis to poison Ivy/Oak transferred from hands during urination.
Saxophone Penis. The swollen penis may take on the appearance of a saxophone. This may occur in various conditions including allergic contact dermatitis (shown here) and angioedema.
Chronic Penile Lymphedema
Occasionally, a young vigorous male may develop transient penile swelling from vigorous sexual intercourse.
Saxophone Penis. Acute swelling of the penis may cause it to appear like a saxophone. This is most commonly a result of allergic contact dermatitis from Rhus, but may also occur in the setting of hereditary angioedema as shown here. For a picture, see Indian Dermatol Online J 2015;6:462-3.
Sclerosing lipogranuloma secondary to paraffin injections for augmentation of the penis. For a picture, see JAAD January 2011;Volume 64, Issue 1, Pages 1–34.
Lymphedema, e.g., from surgery, malignancy blocking lymphatics, filariasis.
Herpes Simplex. Courtesy Michael O. Murphy, MD
Balanitis/Intertrigo. This inflammation and erosion healed completely with triamcinolone ointment BID x 2 weeks.
Squamous Cell Carcinoma/Verrucous Carcinoma
Coronal Sulcus Lymphangitis
Metastatic Disease. Metastatic prostate cancer, courtesy UCSD
Basal Cell Carcinoma. It is rare indeed for BCC to occur on the penis. When it does, it usually occurs on the shaft in older men, has been present for more than a year, and is successfully treated with excision. Cutis 1998;61;25
Pearly Penile Papules
Scabies. If the patient is itchy all over and there is a rash or red bumps on the penis, think scabies.
Bannayan Riley Ruvalcaba Syndrome
Balanitis and Candida Balanitis
Erythroplasia Of Queyrat. Squamous cell carcinoma in situ of the penis.
Fixed Drug Eruption. The glans penis is a characteristic site for the acutely inflamed round or oval plaque of a FDE.
Balanitis (see above)
Pseudoepitheliomatous, Keratotic, and Micaceous Balanitis
see Penile Ulcer
Disseminated Superficial Actinic Porokeratosis involving the penis. For a picture, see JAAD Case Reports September 2015 Volume 1, Issue 5, Pages 277–279.
Balanitis Xerotica Obliterans. White, along with thickness, contraction, and scarring.
Vitiligo. Color change only.
Hypertrophic Lichen Planus
Smegma and Smegma Pearls. Smegma is a collection of secretions and shed skin cells that may accumulate under the foreskin. It is asymptomatic and normal. Sometimes it is confused with candidiasis. Smegma pearls are white balls that may form on the penis of uncircumcised boys.
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