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Year : 2019  |  Volume : 10  |  Issue : 4  |  Page : 460-462

Penile horn: A rare presentation of pseudoepitheliomatous, keratotic, and micaceous balanitis successfully treated with oral acitretin

1 Department of Dermatology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
2 Department of Pathology, S.C.B. Medical College, Cuttack, Odisha, India

Correspondence Address:
Kananbala Sahu
Department of Dermatology, AIIMS, Bhubaneswar - 753 001, Odisha
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/idoj.IDOJ_305_18

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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.

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