THE CASE: For 2 weeks, a previously healthy 40-year-old man has had excessive thirst and increased frequency of urination. He awakens at least 5 times every night to urinate. He reports no nausea, vomiting, change in bowel habits, chest pain, or dyspnea.
On further questioning, the patient recalls that during the past 2 weeks he has also had penile swelling and pain, but no discharge or dysuria. He denies any history of sexually transmitted diseases and states that his wife is his only sex partner.
The patient has a swollen foreskin and an erythematous glans with whitish discharge. Cardiac, respiratory, and abdominal findings are unremarkable.
What do you suspect?
- Erythroplasia of Queyrat
(Answer and discussion on next page.)
1. English JC. Dermatoses of the glans penis and prepuce. J Am Acad Dermatol. 1997;37:1-24.m Hartke DM, Palmer JS. Anomalies of the penis. J Men's Health Gend. 2006;3:244-249.
2. Waugh MA. Balanitis. Dermatol Clin. 1998;16:757-762.