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Lawrence A. Schiffman, DO; Richard Berry, MD; Marvin Watsky, DO; Ed Heilman, MD
St John's Episcopal Hospital, Far Rockaway, New York

Arch Dermatol. 2009;145(6):715-720.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 45-year-old African American man presented with a long-term history of lesions on his scrotum and buttocks that were occasionally accompanied by pruritus. He reported that the lesions had first appeared when he was 5 or 6 years old and had increased in number throughout his life. Various topical therapies, including corticosteroids, retinoids, and fluorouracil, which had been prescribed by previous clinicians, had cleared some lesions temporarily, but they soon recurred. His medical history was unremarkable, and he denied taking any medications.

Physical examination revealed multiple scattered, annular, 5- to 15-mm patches and plaques in the perineal region, including the scrotum, buttocks, and intertriginous groin area (Figure 1). All of the lesions exhibited a hyperkeratotic, ridged border that was best palpated with an outward motion of a finger from the center of each lesion. Some . . . [Full Text of this Article]

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Annular Patches and Plaques on the Scrotum and Buttocks—Diagnosis
Arch Dermatol. 2009;145(6):715-720.
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