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October 1987

Persistent Bullae on the Penis of an Elderly Man

Author Affiliations

USA; USA Army Medical Center, Washington, DC

Arch Dermatol. 1987;123(10):1393-1394. doi:10.1001/archderm.1987.01660340166042

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

DIAGNOSIS:  Balanitis xerotica obliterans.

HISTOPATHOLOGIC FINDINGS  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

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