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Article
August 1961

Penile Horn: A Case Report

Author Affiliations

HOUSTON, TEXAS

From the Department of Dermatology, Baylor University, College of Medicine, and the section on Dermatology, Veterans Administrative Hospital (Everett R. Seale, M.D., Chairman).

Arch Dermatol. 1961;84(2):322-324. doi:10.1001/archderm.1961.01580140146023
Abstract

Cutaneous horns in light-exposed areas are not particularly uncommon, especially in the Southwestern United States; however, similar lesions on the glans penis are rare. We have been able to find a total of 34 previously reported cases, of which only 8 occurred in North America.1-7

Penile horns occur as single or multiple lesions.5 They usually start as warty growths that later become hyperkeratotic and assume the appearance of a horn. Taylor6 attributed these lesions to prolonged preputial irritation, and Van der Velde1 stated that all of the cases he reviewed had a preexisting phimosis. Most of the cases reported to date have been in Germans or individuals of predominantly German ancestry.6 Huggins8 mentioned the possibility of a viral etiology based on the work done by Rous9 on cutaneous horns in the western cottontail rabbit.

Clinically, these growths consist of a compact, tapered, keratinous

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