PMC6351345_01
Pseudoepitheliomatous keratotic and micaceous balanitis (PKMB).. (a) Mica-like crusts and hard keratotic mass found in almost the entire glans penis. (b) A hyperkeratotic plaque is easily separated from the glans penis. (c) After the complete removal of the hard mass, oozing blood is observed on the separated surface.
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Physical examination (Fig. 1a) showed hard, bark-like lesions located in almost the entire glans penis, but not in the urethral meatus.