AI Article Synopsis

  • Penile sclerosing granuloma is a reaction to foreign substances injected for genital enhancement, often resulting in patients denying such procedures.
  • A case study of a 62-year-old man revealed a growth diagnosed as sclerosing lipogranuloma after dermoscopic examination and biopsy, highlighting his admission to self-injecting motor oil.
  • This study provides the first detailed dermoscopic description of sclerosing granuloma, possibly enhancing diagnostic accuracy, and introduces a unique dermoscopic rainbow pattern linked to 'dichroism' in granulomatous conditions.

Article Abstract

Penile sclerosing granuloma is a foreign body reaction to the injection of material, usually for genital augmentation purposes. Patients commonly deny having had or performed these procedures on themselves, and diagnosis can be challenging. We describe the case of a 62-year-old man with a 10-year history of a growth on the penile shaft. Dermoscopic examination showed an orange background with shiny white structures, suggesting a granulomatous pathology. Guided biopsies confirmed a sclerosing lipogranuloma. The patient admitted to having self-injected motor oil. For the first time, we report the dermoscopic description of sclerosing granuloma, which will improve clinical diagnostic precision and guide biopsies. We also contribute the first description of a dermoscopic rainbow pattern in a granulomatous disorder; this could be due to a physical phenomenon called 'dichroism'.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7929841PMC
http://dx.doi.org/10.1136/bcr-2020-239846DOI Listing

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