LAUSR

A 12yearold boy was referred to Dermatology for a 7year history of papules on the glans penis. They were asymptomatic and did not cause disturbance in micturition. He had a history of gynecomastia and premature pubarche, and congenital heart disease (atrioventricular septal defect, tricuspid, and mitral insufficiency) surgically treated at the age of 8 years. He was currently receiving treatment with spironolactone, captopril, and acetylsalicylic acid. At the age of 5 years, he underwent elective circumcision and in the first year after the surgery, he started developing penile lesions that slowly enlarged progressively over the next 7 years. The patient had a followup visit with urology at 10 years of age, and he was referred to dermatology. Physical examination revealed multiple, skincolored polypoid tumors around the entire circumference of the glans penis with no urethral involvement (Figure 1). A shave biopsy was performed for histopathological study (Figures 2 and 3).