PMC8995659_01
Penile shaft at initial presentation.
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F1
On initial examination, there was a lichenified plaque just proximal to the frenulum (Fig. 1).
Recurrence of penile shaft lesion following CO2 laser ablation.
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F2
However, the lesion recurred as a flat white cobbled non-scaly oval plaque on the proximal frenulum (Fig. 2).
Penile shaft lesion 3 months after commencement of tildrakizumab.
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F3
Treatment with either acitretin or methotrexate resulted in some improvement of induration but severe erythema remained (Fig. 3).