Department of Dermatology, Hassan II University Hospital, Fes, MoroccoMorocco
Department of Urology, Hassan II University Hospital, Fes, MoroccoMorocco
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A 35-year-old man consulted for calcified nodules of the scrotal skin. He complained of an impact on his sexual performance. The nodules progressively increased in size. He had no history of trauma or genitourinary or hormonal disorders. His physical examination revealed multiple bilateral calcified cutaneous lesions of the scrotum with no associated inflammation. The dermatoscopic examination noted erythema with telangiectatic vessels.
Keywords: calcified nodules; scrotal skin; genitourinary; hormonal disorders
UROLOGY AND ANDROLOGY ISSN 2572-4665 Open Journal Kaoutar Laamari, MD1*; Soufiane Ennaciri, MD2; Zakia Douhi, MD1; Sara Elloudi, PhD1; Hanane Baybay, PhD1; Fatima Z. Mernissi, PhD1; Moulay H. Farih, PhD2 1Department of Dermatology, Hassan II University Hospital, Fes, Morocco 2Department of Urology, Hassan II University Hospital, Fes, Morocco *Corresponding author Kaoutar Laamari, MD Department of Dermatology and Venerology, Hassan II University Hospital, Fes, Morocco; T el: 00212673153435; E-mail: kaoutar.laamari1@gmail.com Article Information Received: July 10th, 2019; Revised: September 16th, 2019; Accepted: October 7th, 2019; Published: October 9th, 2019 Cite this article Laamari K, Ennaciri S, Douhi Z, et al. Scrotal calcinosis: A dermatosis not so rare. Urol Androl Open J. 2019; 3(1): 10-11. doi: 10.17140/UAOJ-3-119 Scrotal Calcinosis: A Dermatosis Not so Rare Illustration | Volume 3 | Number 1| 10 Illustration Copyright 2019 by Laamari K. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited. cc A 35-year-old man consulted for calcified nodules of the scrotal skin. He complained of an impact on his sexual performance.
The nodules progressively increased in size. He had no history of trauma or genitourinary or hormonal disorders. His physical ex- amination revealed multiple bilateral calcified cutaneous lesions of the scrotum with no associated inflammation (Figure 1A). The der- matoscopic examination noted erythema with telangiectatic vessels (Figure 1B).
The described lesions were exclusively scrotal; there were no extensions to the penis. As this was a young patient with multiple lesions, blood and urine tests were performed, including calcium, phosphorus, and parathyroid hormone, which were normal. He underwent surgery. Complete resection of the lesions was performed.
Scrotal calcinosis is a benign condition first described by Lewinski over a century ago. 1 Lesions are nodular and indolent, often bilateral and present without any discharge or inflammation.
The question about the etiopathogenesis is not resolved.
Some authors concluded that the common characteristics are calcified dystrophy of epidermal cysts.2 A penile location has been reported for multiple scrotal calcinosis. Nodules may cause sexual discomfort. 3 Scrotal calcinosis is not associated with any metabolic, hormonal or endocrine disorder and is thus considered idiopathic in origin. 4 Surgery is usually performed in patients presenting with voluminous lesions causing psychological and Figure 1. A. Multiple and Bilateral Calcifiedcutaneous Lesions of the Scrotum with No Inflammatory Lesions. B. The Dermatoscopic Examination Noted Erythema with Telang Ectatic Vessels A B Laamari K et al Urol Androl Open J. 2019; 3(1): 10-11. doi: 10.17140/UAOJ-3-119 sexual distress.4 CONSENT The authors have received written informed consent from the patient.
CONFLICTS OF INTEREST The authors declare that they have no conflicts of interest.