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Pruritic Scrotal Lesions

Pruritic Scrotal Lesions

A 30-year-old man presented with multiple, mildly pruritic, nonpainful lesions on his scrotum of at least 3 months’ duration. He denied any penile discharge, dysuria, testicular swelling, fever, or other systemic symptoms. He reported a history of similar lesions on 2 occasions, which were removed surgically in another country. He was unaware of the diagnosis. He had no other significant past medical history and no current sick contacts.

Physical examination revealed multiple firm, subcutaneous nodules bilaterally in the scrotum. No erythema or discharge was present (Figure). The lesions were non-tender and superficial. There was no inguinal lymphadenopathy. There were no other lesions noted on the body and the rest of the examination was unremarkable.

What's Your Diagnosis? 
A. Epidermal inclusion cyst
B. Steatocystoma
C. Calcinosis cutis
D. Lipoma
E. Lymphangioma circumscriptum


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