Sir, Pseudoepitheliomatous, keratotic, and micaceous balanitis (PKMB) is an uncommon premalignant and rare condition occurring over the glans in older men who undergo circumcision late in life [1]. It was first described in 1961 by Lortat-Jacob and Civatte, who described it as locally advancing thick hyperkeratotic plaque on the glans penis [2]. It was previously thought a benign condition, but is now believed to be premalignant [3]. Herein, We report a patient with PKMB who, having declined definitive surgery was managed with cryotherapy and lifelong followup. A 52 year old circumcised male patient presented at the dermatology departement with a 1 year history of gradually enlarging thick scaly plaque on the glans penis. There was no history of itching, or difficulty in urination. He was an ex-smoker. Patient was non diabetic and there was no history suggestive of sexually transmitted infections. There was no history of bleeding either spontaneously or following minor trauma. He was not taking any medication. He was treated with antiseptic applications and herbal medicines on various occasions. Examination revealed a thick scaly plaque on the glans penis measuring about 2 cm by 2 cm (Fig. 1). The plaque was not tender or itchy, and was not obstructing the urethral meatus. The rest of the genitalia were normal.

More than any other organ of the body, the breasts represent the symbol of femininity for a woman. As with any part of the skin, they may be the seat of inflammatory, infectious, and/or tumor-related dermatoses. The severity of these dermatoses is related to the existence of an underlying malignant neoplasia with a risk of mastectomy, creating a high psychological impact. Through five observations, we discuss different diagnoses to be evoked in front of a breast dermatosis apart from the tumor pathology.

Sir, In late 2019, a new type of viral infection emerged in Wuhan, China, known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19) and which has become the most challenging pandemic of this century. COVID-19 has affected individuals of all ages worldwide. Epidemiological data from numerous countries show that children are a small minority of those who test positive. Most children with COVID-19 show mild symptoms or are asymptomatic, yet new concerns have emerged, with reports on hyperinflammatory states or Kawasaki-like disease [1,2]. Kawasaki disease (KD) is a systemic vasculitis of unknown etiology that occurs mainly in children and rarely in adults [3]. Herein, we report a child with Kawasaki-like disease associated with COVID-19. A fifteen-year-old boy presented to our department with a four-day history of high fever, vomiting, diarrhea, abdomen pain, and erythematous rash. His previous medical history was unremarkable. A physical examination revealed diffuse, erythematous, maculopapular rash, bilateral conjunctivitis, erosive hyperemia of the oral mucosa, scrotal erythema, and a deepithelialized tongue (Figs. 1 and 2).