Unusual Skin lesion

Unusual Bleeding From Scrotal Skin - A Case Report with Review of Literature, 2016

Angiokeratomas include diverse conditions characterized by hyperkeratosis and superficial dermal vascular ectasia on histopathology. They are commonly asymptomatic and present with 1-to 6-mm, blue-to-red papules on a scaly background. They have been described on the scrotum, shaft of penis, vulva, inner thigh and lower abdomen. Angiokeratoma of scrotum (Fordyce's spots) is a very rare entity. An association with increased venous pressure as in cases of varicocele has been noted in males. Morbidity in such a presentation is due to bleeding, anxiety and misdiagnosis leading to overtreatment. At times they can present as episodes of recurrent bleeding or as emergencies in the form of excessive bleeding. In general no treatment is required, however if required, local destructive procedures are employed like excision, electro coagulation, cryotherapy, or laser therapy. We describe here a case of 85 year old male who presented to us with complaints of numerous reddish spots over scrotal skin and painless bleeding from the same site. On local examination there were red maculopapular patches over the scrotal skin. No ulcer or growth was present. Rest of the perineal area and groin were normal. Systemic examination was normal except that patient was hypertensive. No immediate diagnosis was possible due to the rarity of presentation. Literature review helped us to make a presumptive diagnosis of angiokeratoma of scrotum. Patient undergone excision of involved skin with primary closure. The patient recovered well and is being followed up on outpatient basis with no recurrence or complication even after 1 year.

Australian Journal of General Practice

Dermatologic Therapy, 2020

The male genitalia are a common site of dermatoses. Patients with penile diseases often delay or avoid medical care due to anxiety and embarrassment. In this narrative review we describe some of the main benign dermatoses localized to male genital, focusing on their epidemiology, clinical and dermoscopic features, as well as available therapies.

Case Reports, 2011

BMJ case reports, 2014

A 59-year-old man had a wide excision of the right-sided scrotal cancer in the neck of the scrotum. On dissection it became apparent that the tumour had developed a blood supply from the right spermatic cord. Histology revealed G2T2 squamous cell carcinoma. A biopsy from an abnormal skin area from the opposite groin reported chronic folliculitis. He underwent an ultrasound scanning of the groin and fine-needle aspiration, which did not show any suspicious features. Follow-up CT of the abdomen and pelvis after 6 weeks did not show any evidence of intra-abdominal lymphadenopathy. Another CT has been arranged within the next 3 months to confirm that the spread of the tumour does not follow the pattern of a testicular tumour.

Mycoses, 2013

We investigated the epidemiological characteristics of both symptomatic and asymptomatic dermatophytic groin infections in 1970 women (age: 36.2 ± 12.5) during routine gynaecologic examinations. Bilateral groin samples were collected with sterile cotton swabs premoistened with sterile physiological saline. The samples were then separately inoculated onto Sabouraud glucose agar. Fungi were identified by sequencing the rDNA internal transcribed spacer region. Dermatophytes were recovered from five patients (four Trichophyton rubrum and one Arthroderma vanbreuseghemii, 0.25%) with a diagnosis of asymptomatic carriers (four) and tinea inguinalis (one). In one case, groin carriage converted into tinea inguinalis after 3 weeks. Analysis of risk factors indicated that patients of at least 49 years were more likely to be positive for dermatophyte isolation (P = 0.002). In conclusion, groin dermatophyte carriage is more common than tinea inguinalis and can potentially convert into a symptomatic infection.

British Journal of Radiology, 2009

Clinical Medicine Insights. Oncology, 2014

Extramammary Paget's disease (EMPD) is a rare intraepithelial malignancy arising in areas rich in apocrine glands, such as the perineum, vulva, axilla, scrotum, and penis. We describe the case of a man in his 50s who initially presented with a small eczematous lesion on his right groin, treated with topical ointments for eczema, until excisional biopsy of lesion unequivocally revealed invasive EMPD. Despite aggressive surgical interventions, his disease progressed to involve the scrotum and penis. Deemed unresectable, the patient was treated with systemic chemotherapy with minimal response. The rarity of EMPD, especially of the penis and scrotum, warrants an educated eye and heightened index of suspicion when dealing with eczematous lesions in the groin in any person. Early biopsy and histological examination is crucial for early surgical intervention of the lesions. There are no guidelines available to treat locally advanced unresectable disease. In addition, further studies ar...

Indian Journal of Sexually Transmitted Diseases and AIDS, 2014

Background: Nonvenereal dermatoses tend to create confusion from venereal dermatoses. This may be responsible for considerable concern to the patient as well as may cause diagnostic dilemma to the physicians. Nonvenereal dermatoses may not be restricted to genitalia alone; it may affect skin and mucous membrane also. Most of the patients with genital lesions had apprehension of suffering from some venereal disorders. Aim: The aim was to determine clinical and epidemiological pattern of nonvenereal dermatoses of male external genitalia. Materials and Methods: This was a descriptive study of 100 consecutive adult male patients with nonvenereal genital dermatoses attending skin and STD OPD at J A Group of Hospitals, Gwalior. Cases having any venereal dermatoses were excluded from this study. Results: The study included 100 male patients with nonvenereal genital lesions. A total of sixteen nonvenereal genital dermatoses were noted. The most common nonvenereal genital dermatoses were vitiligo (18%), pearly penile papule (16%), fixed drug eruptions (12%), scabies (10%), scrotal dermatitis (9%) and lichen planus (9%). Other dermatoses included sebaceous cyst, psoriasis, lichen sclerosus, plasma cell balanitis or Zoon's balanitis, granuloma annulare, lichen nitidus, lymphangioma circumscriptum, papulo-necrotic tuberculid, squamous cell carcinoma and tinea infections. The age ranged from 18 years to 65 years with majority in the age group of 21-30 years (40%). Conclusion: This study highlights the importance of diagnosing common nonvenereal genital dermatoses. It also helps in avoiding the general misconception that all genital lesions are sexually transmitted.

Current Sexual Health Reports, 2008