Blue-gray plaque of the penis

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Presentation transcript:

Blue-gray plaque of the penis Manuel António Campos, MD, Ana Sousa, MD, Gisela Lage, MD, Paulo Varela, MD, Nuno Menezes, MD, David Tente, MD, Iris Zalaudek, MD, PhD, Armando Baptista, MD, Natividade Rocha, MD  JAAD Case Reports  Volume 4, Issue 6, Pages 531-533 (July 2018) DOI: 10.1016/j.jdcr.2017.07.026 Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Round, well-demarcated, smooth, blue-gray plaque measuring 8 × 10 mm, arising within an erythematous background plaque of the glans. JAAD Case Reports 2018 4, 531-533DOI: (10.1016/j.jdcr.2017.07.026) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Regularly arranged gray dots surrounded by a white halo over a blue-white structureless background. JAAD Case Reports 2018 4, 531-533DOI: (10.1016/j.jdcr.2017.07.026) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Cordlike pattern with refractile round cellular structures in the stratum corneum, suggesting parakeratosis. Typical honeycomb pattern. JAAD Case Reports 2018 4, 531-533DOI: (10.1016/j.jdcr.2017.07.026) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions

Fig 4 A, Parakeratosis with acanthosis, mild papillomatosis, and diffuse koilocytosis. B, Abundant basal melanic pigment and papilla with prominent ectatic vascular core. C, Detail of the koilocytes with conspicuous perinuclear vacuolization and elongated and irregular hyperchromatic nuclei. D, Detail of a markedly dilated capillary in a papilla and the abundant melanic pigment at the basal layer cells. E, HMB-45 marker highlighting melanocytes and their cytoplasmic processes. (A-D, Hematoxylin-eosin stain; E, HMB-45 stain; original magnifications: A, ×40; B and E, ×100; C and D, ×200.) JAAD Case Reports 2018 4, 531-533DOI: (10.1016/j.jdcr.2017.07.026) Copyright © 2017 American Academy of Dermatology, Inc. Terms and Conditions