REPORT OF A CASE
A 65-year-old man presented to the dermatology clinic complaining of blisters on his penis that had been present unchanged for the previous two years. They were painful at times and for this reason had prevented him from having sexual intercourse. There were, however, no adverse effects on urination.Physical examination revealed several 1.0-cm to 1.5-cm tense noninflammatory bullae on the glans and shaft of the penis. These were present on atrophic, telangiectatic skin (Figs 1 and 2).A 4-mm punch biopsy specimen was taken from the glans penis, a micrograph of which is shown in Fig 3.What is your diagnosis?Persistent Bullae on the Penis of an Elderly Man
Balanitis xerotica obliterans.
Examination of the skin biopsy specimen taken from the edge of a bullous lesion on the glans revealed focal hyperkeratosis with atrophy of the stratum malpighii. There was hydropic degeneration of the
Tompkins KJ, James WD. Persistent Bullae on the Penis of an Elderly Man. Arch Dermatol. 1987;123(10):1393-1394. doi:10.1001/archderm.1987.01660340166042