PMC9677529_01
Clinical presentation. A, Umbilicated papules with crust at the base of the penile shaft. B, Dermoscopic high magnification of an early lesion.
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fig1
On initial examination, 4 discrete umbilicated papules with adherent brown crust were noted at the base of the penile shaft and suprapubic region (Fig 1, A). Dermoscopy revealed white radiating lines at the lesion's periphery and a central reddish-brown structureless area (Fig 1, B).
Pseudo-koebnerization. A, Umbilicated papules located within a new tattoo. B, Dermoscopic high magnification of one lesion within the new tattoo.
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fig2
On the third day of hospitalization, his temperature rose to 39  C, and 9 new umbilicated papules appeared, koebnerizing within the new tattoo (Fig 2).